Jeremy Todd Carlson in Grand Rapids - Family Medicine
Jeremy Todd Carlson - NPI 1699966184
Jeremy Todd Carlson is a Family Medicine in Grand Rapids, Minnesota. Jeremy Todd Carlson practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jeremy Todd Carlson is 1699966184. The last update date is 2013-02-05.
Jeremy Todd Carlson's current location address is 1601 Golf Course Rd, Grand Rapids, Minnesota. You can contact this provider via phone number 2183265000 and fax number 2185299120. The mailing address for Jeremy Todd Carlson is 1601 Golf Course Rd, Grand Rapids, Minnesota. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jeremy Todd Carlson |
---|---|
Address | 1601 Golf Course Rd, Grand Rapids, Minnesota |
Phone Number | 2183265000 |
Fax Number | 2185299120 |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1699966184 |
---|---|
Provider Enumeration Date | 2007-08-08 |
Last Updated Date | 2013-02-05 |
Provider Mailing Address Detail
Address | 1601 Golf Course Rd |
---|---|
City | Grand Rapids |
State | Minnesota (MN) |
Post Code | 557448648 |
Phone Number | 2183265000 |
Fax Number | 2185299120 |
Provider's Primary Taxonomy Detail
Speciality | Family Medicine |
---|---|
Taxonomy | 207Q00000X |
Licence No | 50780 |
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
P00633143 | RAILROAD MEDICARE | ||
130935 | MEDICA | ||
614660300 | MN | -- | |
9K492CA | MN | BCBS MN |
Post Comment/ Review Below
What is the unique identifier code issued to Jeremy Todd Carlson by the Centers for Medicare & Medicaid Services?
The Jeremy Todd Carlson has been assigned the NPI (National Provider Identifier) 1699966184. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Jeremy Todd Carlson is located?
The Jeremy Todd Carlson is situated at the following address: 1601 Golf Course Rd, Grand Rapids, MN, 557448648.
What is Jeremy Todd Carlson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jeremy Todd Carlson is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1699966184 to Jeremy Todd Carlson?
The Jeremy Todd Carlson received its 1699966184 assignment from the Centers for Medicare & Medicaid Services on 2007-08-08.
As of what date were the Jeremy Todd Carlson's details last updated?
The information pertaining to the Jeremy Todd Carlson, including its address, specialty, and other details, was most recently updated on 2013-02-05.
NPI Number: 1669475885
Address: 1005 Midwestern Pkwy, Wichita Falls, TX
NPI Number: 1285637785
Address: 101 Deer Run Rd, Elgin, SC
NPI Number: 1851394431
Address: 220 Reservoir St, Harrisonburg, VA