Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Glen P Carlson, MD

Individual provider Internal Medicine Physician · NPI 1245217231

Dr. Glen P Carlson, MD is a Pediatric Medicine in Champlin, Minnesota. Graduated from Loyola University of Chicago, Stritch School of Medicine in 1998, 28 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
28
Trained at
Loyola University of Chicago, Stritch School of Medicine
Licensed in
MN
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.

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Practice location Address checks out

12142 Business Park Blvd N
Champlin, MN 55316-4525
Phone: (952) 977-0500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 44524 (MN)
Pediatrics Physician Taxonomy 208000000X · Licence 44524 (MN)

Record details

NPI number1245217231
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 29, 2005
Last updated in NPPESApril 4, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Also practisesINTERNAL MEDICINE
Medical schoolLOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Graduated 1998 (28 years in practice)
Group practice Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Champlin