Individual
DR. RYAN MATTHEW CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 PHALEN BLVD - MS 41104A, HEALTHPARTNERS SPECIALTY CENTER 401, ST. PAUL, MN 55130-5302
(651) 254-7980
(651) 254-7969
Mailing address
640 JACKSON ST, MS 11502V, SAINT PAUL, MN 55101-2502
(651) 254-7980
(651) 254-7990
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
51674
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/17/2009
Last updated
12/23/2015
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