NPI 1245217231

Glen P Carlson, MD

Practitioner Internal Medicine Physician Champlin, MN

Practice location

Address: 12142 Business Park Blvd N, Champlin, MN 55316-4525
Phone: (952) 977-0500
Mailing address: 8170 33rd Ave S PO Box 1309 Mail Stop 21110q, Minneapolis, MN 55425-4516

Registered specialties (2)

Internal Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 44524 (MN)

Other Internal Medicine providers in Minnesota →

Pediatrics Physician

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 44524 (MN)

Other Pediatrics providers in Minnesota →

Registry record

NPI: 1245217231
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Dec 2005
Record last updated: 4 Apr 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.