Individual
MELISSA CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2211 RIVERSIDE AVE S CAMPUS BOX 149, MINNEAPOLIS, MN 55454
(612) 330-1388
Mailing address
2 RIVER TERRACE CT APT 105, MINNEAPOLIS, MN 55414
(507) 261-6788
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/23/2024
Last updated
05/23/2024
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