Organization
CARLSON GI CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY A CARLSON MBA (DIRECTOR OF OPERATIONS)
(715) 421-1001
Entity
Organization
Contact information
Practice address
420 DEWEY STREET, WISCONSIN RAPIDS, WI 54495-0005
(715) 421-1001
(715) 421-3004
Mailing address
420 DEWEY STREET, WISCONSIN RAPIDS, WI 54495-0005
(715) 421-1001
(715) 421-3004
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
08/10/2006
Last updated
07/24/2015
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