Individual
BRETT CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9555 UPLAND LN N, MAPLE GROVE, MN 55369-4485
(952) 993-1440
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
53865
MN
207RC0000X
Cardiovascular Disease Physician
MD-53630
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992975791
—
MI
05
—
1992975791
—
MN
05
—
1992975791
—
WI
Enumeration date
03/07/2008
Last updated
04/17/2026
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