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Individual

DR. CAROL SUE CARLSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1200 OAKLEAF WAY STE A, ALTOONA, WI 54720-2245
(715) 832-1400
(715) 832-4187
Mailing address
1200 N 10TH ST W, SUITE A, ALTOONA, WI 54720-2639
(715) 832-1400
(715) 832-4187

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
54216-020
WI
208VP0014X
Interventional Pain Medicine Physician
54216-020
WI

Other

Enumeration date
07/01/2008
Last updated
12/17/2021
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