Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACK VICTOR CARLISLE, MD
ActiveDR. JACK VICTOR CARLISLE, MD is a Family Medicine healthcare provider located in GRAND RAPIDS, Minnesota. NPI 1326023060 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · GRAND RAPIDS, MN
Registration Details
- NPI Number
- 1326023060
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 14, 2005 (20.668105768123 yrs)
- Last Updated
- Feb 12, 2013
- License
-
31750 (MN)
Practice Information
- Address
-
1601 GOLF COURSE RDGRAND RAPIDS, MN, 557448648Browse MN providers · Browse ZIP 55744
- Phone
- 2183265000
- Fax
- 2183261461
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in GRAND RAPIDS, MN
| Name | Credential | NPI |
|---|---|---|
| DR. PATRICIA C. CARLIN-JANSSEN | MD | 1033195805 |
| DR. CATHY J. CLEARY | MD | 1811973670 |
| DR. EDWIN A. ANDERSON | MD | 1083691828 |
| DR. CARY R. COLE-ANTHONY | MD | 1437136090 |
| DR. SCOTT GERLING | MD | 1912984550 |
| RICHARD J HELVIG | MD | 1285611822 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.