Madeline Grace Carlson

NPI #1629700968 in Duluth, Minnesota

Provider Information

NPI Number: 1629700968
Entity Type: Individual
Name: Madeline Grace Carlson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Jun 27, 2022
Last Updated: Jun 27, 2022

Practice Location

Address: 1200 KENWOOD AVE
City: Duluth
State: Minnesota
ZIP Code: 55811-4199
Phone: (218) 723-6289

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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