Individual
CARTER Q LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
48378
MN
208800000X
Urology Physician
52455
WI
208800000X
Urology Physician
Primary
MD60228883
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851300131
—
WI
05
—
587458100
—
MN
01
—
P00713326
RR MEDICARE GROUP 1295784403
WI
Enumeration date
08/05/2006
Last updated
04/26/2021
Update your record
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