DR. Georgina Lenore Dixon Carlson, MD

NPI #1174509137 in Stillwater, Minnesota

Provider Information

NPI Number: 1174509137
Entity Type: Individual
Name: DR. Georgina Lenore Dixon Carlson, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Dec 21, 2005
Last Updated: Jun 6, 2012

Practice Location

Address: 1500 CURVE CREST BOULEVARD
Address 2: STILLWATER MEDICAL GROUP
City: Stillwater
State: Minnesota
ZIP Code: 55082-6040
Phone: (651) 439-1234

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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