Individual
DR. GERALD JOHN ERNEST CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
6500 EXCELSIOR BLVD, ST LOUIS PARK, MN 55426-4702
(952) 993-5900
Mailing address
6500 EXCELSIOR BLVD, ST LOUIS PARK, MN 55426-4702
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11972
MN
Other
Enumeration date
03/02/2022
Last updated
03/02/2022
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