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Individual

DAVID R CARLSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DNP, APRN

Contact information

Practice address
14701 VICTOR HUGO BLVD N, HUGO, MN 55038-4561
(651) 767-1900
(651) 767-1901
Mailing address
8170 33RD AVE S # MS 21110Q, MINNEAPOLIS, MN 55425-4516

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1982868
MN

Other

Enumeration date
06/04/2018
Last updated
03/11/2021
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