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Individual

DR. DOUGLAS J CARLSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
21564
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
180008787
RAILROAD MEDICARE
MN
01
180046280
RAILROAD MEDICARE
WI
05
241590900
MN
Enumeration date
06/15/2005
Last updated
03/07/2014
Update your record

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