Wayne P Carlson, MD

NPI #1629076005 in Algonquin, Illinois

Provider Information

NPI Number: 1629076005
Entity Type: Individual
Name: Wayne P Carlson, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Jul 11, 2005
Last Updated: Jun 13, 2011

Practice Location

Address: 600 S RANDALL RD
City: Algonquin
State: Illinois
ZIP Code: 60102-5996
Phone: (224) 783-4302

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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