Individual
DR. DUSTIN CARLSON
Active
Individual
DR. DUSTIN CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036129287
IL
207RG0100X
Gastroenterology Physician
Primary
036129287
IL
Other
Enumeration date
09/04/2009
Last updated
06/01/2016
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