BLAKE CARLSON

ST LOUIS PARK, MN
NPI1528327954
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: WA  MD60476887)
Enumeration Date2012-05-04
Last Update Date2018-05-24
Business Address
BLAKE CARLSON MD
5775 WAYZATA BLVD STE 190
ST LOUIS PARK, MN 55416
Phone number: 952-541-1840
Mailing Address
BLAKE CARLSON MD
PO BOX 50095
SEATTLE, WA 98145-5095
Phone number: 206-543-6420
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