Carlson, Dana M

Carlson, Dana M is an individual health care provider with primary practice located at 9825 Hospital Dr Suite 105, Maple Grove MN 55369-4479. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Carlson, Dana M can be contacted via phone (763) 780-6699.

Contact Information

Primary practice address
9825 Hospital Dr Suite 105 Maple Grove MN 55369-4479
Phone: (763) 780-6699
Fax: (763) 420-0506
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 38509 Minnesota

Profile Details

NPI number 1740255884
LBN Legal business name Carlson, Dana M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Sep 9th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740255884 NPPES
Minnesota MEDICAID 269320800

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