STEPHEN RAY CARLSON

DULUTH, MN
NPI1972531291
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MN  22668)
Enumeration Date2006-06-28
Last Update Date2011-05-06
Business Address
-- STEPHEN RAY CARLSON
4212 GRAND AVE
DULUTH, MN 55807-2737
Phone number: 218-786-3500
Mailing Address
-- STEPHEN RAY CARLSON
4212 GRAND AVE
DULUTH, MN 55807-2737
Phone number: 218-786-3500