| Dr Leonard E Carlson Pa | |
|
1011 N 2nd St St Cloud MN 56303 | |
| (320) 252-0414 | |
| (320) 252-0420 |
| Full Name | Dr Leonard E Carlson Pa |
|---|---|
| Speciality | Dentist |
| Location | 1011 N 2nd St, St Cloud, Minnesota |
| Authorized Official Name and Position | Leonard Earl Carlson (PRES) |
| Authorized Official Contact | 7202520414 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Leonard E Carlson Pa 1011 N 2nd St St Cloud MN 56303 Ph: (320) 252-0414 | Dr Leonard E Carlson Pa 1011 N 2nd St St Cloud MN 56303 Ph: (320) 252-0414 |
| NPI Number | 1407869282 |
|---|---|
| Provider Enumeration Date | 08/14/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407869282 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 6927 (Minnesota) | Primary |
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