BLAKE A CARLSON MD

MIDWEST RADIOLOGY PA

Dr BLAKE A CARLSON MD is a male medical professional, specializing in Diagnostic Radiology. He graduated in 1988 from University Of Minnesota Medical School.

Contact

MIDWEST RADIOLOGY PA

225 SCHOLL CT
AMERY
WI
540011292

Tel: 7052688000

BLAKE A CARLSON MD Information

Npi 1548249956
Pac Id 8022922780
Professional Enrollment Id I20050523000502
Last Name CARLSON
First Name BLAKE
Middle Name A
Suffix
Gender M
Credential MD
Medical School Name UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduation Year 1988
Primary Specialty DIAGNOSTIC RADIOLOGY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name MIDWEST RADIOLOGY PA
Group Practice Pac Id 4486568482
Number Of Group Practice Members 182
Line 1 Street Address 225 SCHOLL CT
Line 2 Street Address
Marker Of Address Line 2 Suppression
City AMERY
State WI
Zip Code 540011292
Phone Number 7052688000
Hospital Affiliation Ccn 1 240038
Hospital Affiliation Lbn 1 ALLINA UNITED HOSPITAL
Hospital Affiliation Ccn 2 240210
Hospital Affiliation Lbn 2 HEALTHEAST ST JOHN'S HOSPITAL
Hospital Affiliation Ccn 3 240063
Hospital Affiliation Lbn 3 ST JOSEPH'S HOSPITAL
Hospital Affiliation Ccn 4 240066
Hospital Affiliation Lbn 4 LAKEVIEW MEMORIAL HOSPITAL
Hospital Affiliation Ccn 5 240106
Hospital Affiliation Lbn 5 REGIONS HOSPITAL
Professional Accepts Medicare Assignment Y

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