Individual
ADAM LELAND CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
196885-30
WI
367500000X
Certified Registered Nurse Anesthetist
Primary
12032
WI
Other
Enumeration date
08/28/2013
Last updated
07/14/2022
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