Individual provider · Type 1 NPI

Renee M. Donahue Carlson, MD

Student in an Organized Health Care Education/Training Program · St. Louis Park, MN

NPI number 1316266166 Active

Practice location

3800 Park Nicollet Blvd
St. Louis Park, MN 55416-2527

Mailing address

8170 33rd Ave S # Ms 21110Q
Bloomington, MN 55425-4516

Other practice locations

  • 1 Veterans Dr, Vamc Medicine Office, 111 Donna Luck, Minneapolis, MN 55417-2309 · (612) 467-4431

Specialties and licenses

TaxonomyCodeLicense
Infectious Disease Physician 207RI0200X61032 (MN)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1316266166

Renee M. Donahue Carlson, MD's National Provider Identifier is 1316266166, issued on May 19, 2010. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in St. Louis Park, MN. The record was last updated on Jun 25, 2021.