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