Individual
ROSS L CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1506 S ONEIDA ST, HEART, LUNG & VASCULAR CENTER, APPLETON, WI 54915-1305
(920) 730-6700
Mailing address
1506 S ONEIDA ST, HEART, LUNG & VASCULAR CENTER, APPLETON, WI 54915-1305
(920) 730-6700
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
151971
WI
Other
Enumeration date
08/07/2012
Last updated
08/07/2012
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