| Michael T Carlson, PA | |
|
430 E Division St, Fond Du Lac, WI 54935-4560 | |
| (920) 926-4600 | |
| Not Available |
| Full Name | Michael T Carlson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 430 E Division St, Fond Du Lac, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780675462 | NPI | - | NPPES |
| 13832 | Other | WI | DEAN |
| P00207613 | Other | WI | RAILROAD MEDICARE |
| 1003022 | Other | WI | TOUCHPOINT |
| 42962500 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 299 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Michael T Carlson, PA 420 E Division St, Fond Du Lac, WI 54935-4560 Ph: (920) 926-8340 | Michael T Carlson, PA 430 E Division St, Fond Du Lac, WI 54935-4560 Ph: (920) 926-4600 |
Mr. Joseph Jon Deboer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 920-929-2300 | |
Mrs. Adriane Janet Leonard, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 920-929-2300 Fax: 920-926-8370 | |
Tristan Pitt, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 920-929-2300 | |
Erin C. Rottier, M.S., PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 920-929-2300 | |
Teegan R Kraus, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 889 E Johnson St, Fond Du Lac, WI 54935 Phone: 920-367-6700 Fax: 262-700-4657 | |
Mrs. Cynthia Nicole Wittwer, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 920-929-2300 | |
Betty Xiong-thompson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 210 Wisconsin American Dr, Fond Du Lac, WI 54937 Phone: 920-907-7000 Fax: 920-907-7162 |