Individual provider · Type 1 NPI

Mark Edwin Carlson, MD

Specialist · Rockford, IL

NPI number 1790741049 Active

Practice location

1848 Daimler Rd
Rockford, IL 61112-1019

Fax (815) 986-6770

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X036-073115 (IL)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1790741049

Mark Edwin Carlson, MD's National Provider Identifier is 1790741049, issued on Apr 25, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Rockford, IL. The record was last updated on Sep 7, 2010.