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1114036738
EDWARD E CARLSON
ELKHORN, WI
NPI
1114036738
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WI 18826)
Enumeration Date
2006-08-29
Last Update Date
2014-11-11
Business Address
Dr. EDWARD E CARLSON MD
433 OAKLAND LN
ELKHORN, WI 53121-1659
Phone number: 262-723-4455
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Mailing Address
Dr. EDWARD E CARLSON MD
433 OAKLAND LN
ELKHORN, WI 53121-1659
Phone number: 262-723-4455
Copy
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