Male or Other

Philip R. Carlson MD

Diagnostic Radiology Physician in Windsor, WI(View on Map)

Full Name

Philip R Carlson MD

NPI Number

1750359832

NPI Type

Individual Provider

Gender

Male

Enumeration Date

03/14/2006

Specialties

(Taxonomies)

Code

2085R0202X
2085R0204X

Primary Taxonomy

Yes
No

Licenses

State

Wisconsin

License Number

26265

Contact
Information

Purpose

Mailing
Location

Address

6696 WOLF HOLLOW RD
6696 WOLF HOLLOW RD

City

Windsor
Windsor

State

WI
WI

Postal Code

53598-9813
53598

Country

US
US

Telephone Number

(608) 842-0734
(608) 842-0734

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/20/2018

Provider Address