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NPI Verification

National Provider Identifier: 1508610072

Zachary Carlson, PA-C

Individual Provider

Credentials

PA-C

Primary Specialty

Physician Assistant

Code: 363A00000X

All Specialties (2)

Physician Assistant

Code: 363A00000X

Primary

Urology

Code: 208800000X

Practice Address

715 S 8TH ST

MINNEAPOLIS, MN 554047530

Phone: 612-873-5450

NPI Enumeration Date

April 12, 2024

NPI Number

1508610072

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry
Zachary Carlson, PA-C - NPI 1508610072 | Provider Verification | HormoneMap