NPI

Gregg W Carlson

This page is a copy of the public NPPES file.

Facts

Status
Active
Credential
MD
Type
Individual
Enumeration date
2006-12-04
Last updated
2011-11-01

Specialties

Licenses

License SD
1897

Location

Practice location
310 S Penn St, Ste 204
City
Aberdeen SD
Postal code
57401-4553
Phone
(605) 225-1636

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

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Nearby

Other NPIs in Aberdeen, SD. 998 records in the public file.

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