Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 49945 | MN |
Y | 208600000X | Surgeon | 49945 | MN |
N | 2086S0105X | Surgery of the Hand | 49945 | MN |
NPI | 1417154329 |
---|---|
Provider Name | Brian T Carlsen |
First Address | Rochester, MN 55905-0001 |
Second Address | Rochester, MN 55905-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2007 |
Last Update Date | 12/08/2020 |