Individual provider · NPI-1

Janine L Carson, MD

Radiology, Diagnostic Radiology · Fargo, ND

NPI number1295752293
StatusActive
Last updated in NPPESMar 25, 2022

Details

NPI
1295752293
Entity type
Individual (NPI-1)
Name
Janine L Carson
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Jul 16, 2006
Certification date
Mar 25, 2022
Last updated
Mar 25, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2085R0202X Radiology, Diagnostic Radiology7732NDYes

Practice location

801 Broadway N
Fargo, ND 58102-3641

Phone 701-234-2406 · Fax 701-234-7481

Mailing address

Po Box 2010
Fargo, ND 58122-0605

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