Doctor Name: | DR. HEATHER R CARLSON |
NPI Number: | 1467665315 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DO |
License Number: | 5101016536 |
Business Practice Address: | 1230 E. Main Street Mankato Clinic At Main Street Mankato, MN - 560028674 |
Business Phone Number: | 5076251811 |
Business Fax Number: | |
Mailing Address: | Po Box 8674, 1230 E. Main Street Mankato Clinic, Ltd MANKATO |
State: | MN |
Postal Code: | 560028674 |
Phone Number: | 5076251811 |
Fax Number: | |
NPI Enumeration Date: | 05/08/2007 |
NPI Last Update Date: | 11/07/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 5101016536 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |