MICHAEL T CARLSON PA
NPI 1780675462
Physician Assistant in Fond Du Lac, WI

Active since November 02, 2005
430 E DIVISION ST, FOND DU LAC, WI 54935(920) 926-4600 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael T Carlson Pa NPPES

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

MICHAEL T CARLSON PA (NPI 1780675462) is an individual physician assistant in Fond Du Lac, Wisconsin, licensed in Wisconsin (299) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1780675462
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMICHAEL T CARLSONCredential: PA
Location Address430 E DIVISION STFond Du Lac, WI 54935-4560
Mailing Address420 E Division StFond Du Lac, WI 54935-4560 · (920) 926-8340
Sole ProprietorNo
Enumeration DateNovember 2, 2005
Last NPPES UpdateJuly 8, 2007
NPI 1780675462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in WI · 299
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
430 E DIVISION ST, Fond Du Lac, WI 54935

Other Identifiers 5

Other1003022WI · Touchpoint
Other13832WI · Dean
OtherP00207613WI · Railroad Medicare
Medicare UPINS29491
Medicaid42962500WI

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.

Counselor (Mental Health)
430 E DIVISION ST
FOND DU LAC, WI 54935
Pharmacist (Pharmacotherapy)
430 E DIVISION ST
FOND DU LAC, WI 54935
Specialist/Technologist, Other
430 E DIVISION ST
FOND DU LAC, WI 54935
Emergency Medicine
430 E DIVISION ST
FOND DU LAC, WI 54935
Speech-Language Pathologist
430 E DIVISION ST
FOND DU LAC, WI 54935
Internal Medicine
430 E DIVISION ST
FOND DU LAC, WI 54935
Nurse Practitioner
430 E DIVISION ST
FOND DU LAC, WI 54935
Nurse Anesthetist, Certified Registered
430 E DIVISION ST
FOND DU LAC, WI 54935

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Carlson's NPI number?

The NPI number for Michael Carlson is 1780675462. It was assigned to this individual provider in the NPPES registry on November 2, 2005.

Where is Michael Carlson located?

Michael Carlson practices at 430 E Division St, Fond Du Lac, WI 54935. The listed phone number is (920) 926-4600.

What is Michael Carlson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Michael Carlson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.