Individual provider · Type 1 NPI

Madeline Grace Carlson

Physician Assistant · Blaine, MN

NPI number 1629700968 Active

Practice location

10705 Town Square Dr NE Ste 210
Blaine, MN 55449-8187

Fax (763) 427-8131

Mailing address

PO Box 734240
Chicago, IL 60673-4244

Other practice locations

  • 4725 36th Ave N, Crystal, MN 55422-2169 · (218) 208-2058

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

2 other providers at this address

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About NPI 1629700968

Madeline Grace Carlson's National Provider Identifier is 1629700968, issued on Jun 27, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Blaine, MN. The record was last updated on Aug 26, 2026.