Individual
MR. DONALD M CARLSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
111 GOLF COURSE RD, GRAND RAPIDS, MN 55744-3526
(218) 327-7257
(218) 327-1585
Mailing address
7933 CO 65 NE, DEER RIVER, MN 56636
(218) 566-2288
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
589
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
589
MN BD OF PT
MN
Enumeration date
03/14/2006
Last updated
07/08/2007
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