DR. Glen P Carlson, MD

NPI #1245217231 in Champlin, Minnesota

Provider Information

NPI Number: 1245217231
Entity Type: Individual
Name: DR. Glen P Carlson, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Dec 29, 2005
Last Updated: Apr 4, 2016

Practice Location

Address: 12142 BUSINESS PARK BLVD N
City: Champlin
State: Minnesota
ZIP Code: 55316-4525
Phone: (952) 977-0500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary
Pediatrics	208000000X

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