Individual
DR. MOLLY JO CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3850 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416-2527
(952) 993-3400
Mailing address
3850 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416-2527
(952) 993-3400
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
64889
MN
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
MD00044766
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932149176
—
WA
Enumeration date
06/07/2006
Last updated
02/11/2019
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