JACK VICTOR CARLISLE

GRAND RAPIDS, MN
NPI1326023060
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MN  31750)
Enumeration Date2005-12-14
Last Update Date2013-02-12
Business Address
Dr. JACK VICTOR CARLISLE MD
1601 GOLF COURSE RD
GRAND RAPIDS, MN 55744-8648
Phone number: 218-326-5000
Mailing Address
Dr. JACK VICTOR CARLISLE MD
1601 GOLF COURSE RD
GRAND RAPIDS, MN 55744-8648
Phone number: 218-326-5000