DR. JACK CARLISLE, MD
Family Medicine
Active
Individual
NPI: 1326023060
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Family Medicine | 207Q00000X | Yes | 31750 (MN) |
Frequently Asked Questions
NPI 1326023060 is the National Provider Identifier for DR. JACK CARLISLE, MD, a Family Medicine provider located in Grand Rapids, MN. This NPI was enumerated on December 14, 2005.
DR. JACK CARLISLE, MD practices at 1601 GOLF COURSE RD, Grand Rapids, MN 55744.
Quick Facts
- NPI
- 1326023060
- Type
- Individual
- Enumerated
- Dec 14, 2005
- Last Updated
- Feb 12, 2013
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