Derek Carl Carlson, MD
Derek Carl Carlson, MD is a Child & Adolescent Psychiatry Physician in Green Bay, Wisconsin. Licensed in Michigan and Wisconsin. Registered with an NPI since 2005.
- Licensed in
- MI, WI
- In the registry since
- 2005
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
301 E Saint Joseph StGreen Bay, WI 54301-2241
Phone: (920) 433-3630
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Child & Adolescent Psychiatry Physician (primary) | Taxonomy 2084P0804X · Licence 61608-20 (WI) |
|---|---|
| Child & Adolescent Psychiatry Physician | Taxonomy 2084P0804X · Licence 4301106248 (MI) |
Record details
| NPI number | 1790775450 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | October 25, 2005 |
| Last updated in NPPES | November 23, 2020 |
| Certification date | November 23, 2020 |
| Mailing address | 301 E Saint Joseph St, Green Bay, WI 54301-2241 |
Other providers in Green Bay
-
Jennifer E. Montgomery Fischer, MD
2680 Vernon Dr, Green Bay, WI 54304-5374 · (920) 496-4700
-
Dr. Sushma Gunturu, MD
2640 W Point Rd Attn: Credential Specialist, Green Bay, WI 54304-1344 · (920) 490-3790
-
Dr. Moitreyee Bandyopadhyay Reddy, MD
2640 W Point Rd, Green Bay, WI 54304-1344 · (920) 490-3790
-
Dr. James G Saccomando Jr., MD, PC
301 E Saint Joseph St, Green Bay, WI 54301-2241 · (920) 433-3630