DR. WADE CARLSON, MD
Family Medicine
Active
Individual
NPI: 1275557498
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Family Medicine | 207Q00000X | Yes | 036101444 (IL) |
Frequently Asked Questions
NPI 1275557498 is the National Provider Identifier for DR. WADE CARLSON, MD, a Family Medicine provider located in Peoria, IL. This NPI was enumerated on July 27, 2006.
DR. WADE CARLSON, MD practices at 5114 N GLEN PARK PLACE RD, Peoria, IL 61614.
Quick Facts
- NPI
- 1275557498
- Type
- Individual
- Enumerated
- Jul 27, 2006
- Last Updated
- Oct 12, 2012
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