CLARENCE ROY CARLSON JR. D.O.
NPI 1124007521
Emergency Medicine in Albert Lea, MN

Q: What is Clarence Carlson's NPI number?

The NPI number for Clarence Carlson is 1124007521. It was assigned to this individual provider in the NPPES registry on January 13, 2006.

Q: What is Clarence Carlson's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Clarence Carlson was last updated on April 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 13, 2006

404 W FOUNTAIN ST, ALBERT LEA, MN 56007(507) 373-2384 Get Directions Write a Review

NPPES record last updated: April 11, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Clarence Roy Carlson Jr. D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLARENCE ROY CARLSON JR. D.O. (NPI 1124007521) is an individual emergency medicine provider in Albert Lea, Minnesota, licensed in Minnesota (34377) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1124007521

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameCLARENCE ROY CARLSON JR.Credential: D.O.

Location Address404 W FOUNTAIN STAlbert Lea, MN 56007-2437

Mailing Address375 Oak St, Apt. 7Emmons, MN 56029-1031

Phone(507) 373-2384

Sole ProprietorNo

Enumeration DateJanuary 13, 2006

Last NPPES UpdateApril 11, 2012

✔ NPI 1124007521 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in MN · 34377

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

404 W FOUNTAIN ST, Albert Lea, MN 56007

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Other Identifiers 3

Medicare ID-Type Unspecified930002258MN

Medicaid458507100MN

Medicare UPIND60791

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TYLER SCOTT OESTERLE MD

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404 W FOUNTAIN ST, MCHS-ALBERT LEA AUSTIN
ALBERT LEA, MN 56007

Freeborn County (507) 373-2384

JEFFREY PAUL LOTTS M.D.

Surgery