Individual
DR. AMANDA KRISTEN CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-8364
Mailing address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-8364
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
57990
MN
208M00000X
Hospitalist Physician
Primary
57990
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001-0117025
MEDICA
—
01
—
1871937474
BCBS
MN
05
—
1871937474
—
MN
Enumeration date
04/25/2013
Last updated
05/07/2025
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