Individual
DR. GREGORY M CARBONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4801 VETERANS DR, SAINT CLOUD, MN 56303-2015
(320) 255-6480
Mailing address
4801 VETERANS DR, SAINT CLOUD, MN 56303-2015
(320) 255-6480
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
056692
GA
2085B0100X
Body Imaging Physician
200300010
NC
2085R0202X
Diagnostic Radiology Physician
0102201824
VA
2085R0202X
Diagnostic Radiology Physician
Primary
200300010
NC
2085R0202X
Diagnostic Radiology Physician
735
SC
Other
Enumeration date
10/06/2005
Last updated
09/15/2025
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