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1265498588
ETHAN W CARLSON
BARABOO, WI
NPI
1265498588
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WI 37699-020)
Enumeration Date
2006-04-25
Last Update Date
2020-11-04
Business Address
ETHAN W CARLSON MD
1700 TUTTLE ST
BARABOO, WI 53913-3319
Phone number: 608-355-3800
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Mailing Address
ETHAN W CARLSON MD
1700 TUTTLE ST
BARABOO, WI 53913-3319
Phone number: 608-355-3800
Copy
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