Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MARK EDWIN CARLSON, MD

Active

Specialist · ROCKFORD, IL

Registration Details

NPI Number: 1790741049
Provider Type: Individual
Gender: Male
NPI Issued: Apr 25, 2006 (20.020457412976 yrs)
Last Updated: Sep 7, 2010
License: 036-073115 (IL)

Practice Information

Address: 1848 DAIMLER RD

ROCKFORD, IL, 611121019
Browse IL providers · Browse ZIP 61112
Phone: 8153989100
Fax: 8159866770
Primary Specialty: Specialist
174400000X

Other Specialist Providers in ROCKFORD, IL

Name	Credential	NPI
ALFRED R HUYOUNG	MD	1306849989
DR. WILLIAM N GEORGIS	M.D.	1508865692
DR. GARY D RIFKIN	M.D.	1245239284
SUSAN C STEVENSON	MS, ATC/L	1962470013
DR. ANN AGUSTSSON MATHERS	D.O.	1417912411
DR. JAMES MELVIN SEVERSON III	MD	1518912765

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.