Individual
JULIE E. CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, MHS
Contact information
Practice address
7840 VINEWOOD LANE, MAPLE GROVE, MN 55369
(763) 236-0200
(763) 420-5531
Mailing address
2925 CHICAGO AVENUE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10997
MN
363AM0700X
Medical Physician Assistant
Primary
10997
MN
Other
Enumeration date
11/26/2008
Last updated
03/29/2021
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