Carissa Marie Carlson, PA-C
NPI #1518192954 in Saint Croix Falls, Wisconsin
Provider Information
- NPI Number
- 1518192954
- Entity Type
- Individual
- Name
- Carissa Marie Carlson, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- May 28, 2009
- Last Updated
- Feb 11, 2021
Practice Location
- Address
- 235 E STATE ST
- State
- Wisconsin
- ZIP Code
- 54024-4117
- Phone
- (715) 483-3221
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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