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

DEREK CARL CARLSON, MD

Active

DEREK CARL CARLSON, MD is a Psychiatric Neurology healthcare provider located in GREEN BAY, Wisconsin. NPI 1790775450 is currently active in the NPPES registry. Verify at CMS.

Psychiatric Neurology · GREEN BAY, WI

Registration Details

NPI Number
1790775450
Provider Type
Individual
Gender
Male
NPI Issued
Oct 25, 2005 (20.818678773491 yrs)
Last Updated
Nov 23, 2020
Licenses
4301106248 (MI)
61608-20 (WI)

Practice Information

Address
301 E SAINT JOSEPH ST
GREEN BAY, WI, 543012241
Browse WI providers · Browse ZIP 54301
Phone
9204333630
Primary Specialty
Psychiatric Neurology
2084P0804X
Additional Specialty
Psychiatric Neurology

Other Psychiatric Neurology Providers in GREEN BAY, WI

Name Credential NPI
NEIL P FULLAN M.D. 1447262183
DR. MOITREYEE BANDYOPADHYAY REDDY M.D. 1164517082
WILLIAM BRADFORD LYLES M.D. 1386799328
JENNIFER E. MONTGOMERY FISCHER MD 1356502561
SUSAN TRAN MD 1760638886
DR. SUSHMA GUNTURU MD 1861723215
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.