Individual
MR. JASON CHRISTOPHER CARVALHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6500 EXCELSIOR BLVD, SAINT LOUIS PARK, MN 55426-4702
(952) 993-5290
(952) 993-6193
Mailing address
PO BOX 385760, BLOOMINGTON, MN 55438-5760
(952) 994-1964
(952) 303-6713
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
52755
MN
Other
Enumeration date
04/09/2007
Last updated
12/16/2010
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