MICHAEL T CARLSON

FOND DU LAC, WI
NPI1780675462
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WI  299)
Enumeration Date2005-11-02
Last Update Date2007-07-08
Business Address
-- MICHAEL T CARLSON PA
430 E DIVISION ST
FOND DU LAC, WI 54935-4560
Phone number: 920-926-4600
Mailing Address
-- MICHAEL T CARLSON PA
420 E DIVISION ST
FOND DU LAC, WI 54935-4560
Phone number: 920-926-8340
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