Individual
DR. CRAIG L CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 E 26TH ST, SIOUX FALLS, SD 57105-4023
(605) 338-7098
(605) 335-3505
Mailing address
5500 S SPY GLASS CIR, SIOUX FALLS, SD 57108-6406
(605) 330-0044
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
1642
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0006401
BLUE CROSS SD
SD
05
—
1978056
—
IA
01
—
34P52CA
BLUE CROSS MN
MN
05
—
5700312
—
SD
05
—
96878200
—
MN
Enumeration date
06/08/2006
Last updated
04/04/2008
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