Individual
ROBIN RENEE CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
2501 W 22ND ST, SIOUX FALLS, SD 57117
(605) 336-3230
Mailing address
320 N JAMES AVE, TEA, SD 57064
(605) 261-2328
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
0602
SD
Other
Enumeration date
07/06/2006
Last updated
07/08/2007
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