Carson, Grace

Carson, Grace is an sole proprietor health care provider with primary practice located at 4465 White Bear Pkwy , White Bear Lake MN 55110-7623. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Carson, Grace can be contacted via phone (651) 653-0062.

Contact Information

Primary practice address
4465 White Bear Pkwy White Bear Lake MN 55110-7623
Phone: (651) 653-0062
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2018019964 Missouri
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 72400 Minnesota

Profile Details

NPI number 1689169989
LBN Legal business name Carson, Grace
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 28th, 2018
Last updated Sep 14th, 2022 - about 3 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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