Individual
PHILIP R CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6696 WOLF HOLLOW RD, WINDSOR, WI 53598
(608) 842-0734
Mailing address
6696 WOLF HOLLOW RD, WINDSOR, WI 53598-9813
(608) 842-0734
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
26265
WI
2085R0204X
Vascular & Interventional Radiology Physician
26265
WI
Other
Enumeration date
03/14/2006
Last updated
06/20/2018
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