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Derek Carl Carlson, MD
Child & Adolescent Psychiatry Physician in Green Bay, Wisconsin
NPI 1790775450

Derek Carl Carlson is a Child & Adolescent Psychiatry Physician based in Green Bay, WI and is specialized in Child & Adolescent Psychiatry. Derek Carl Carlson practices in Green Bay, WI and has the professional credentials of MD. The NPI Number for Derek Carl Carlson is 1790775450 and holds a License No. 4301106248 (Wisconsin).

The current practice location address for Derek Carl Carlson is 301 E Saint Joseph St, Green Bay, WI and can be reached out via phone at 920-433-3630.

Location: 301 E Saint Joseph St, Green Bay, WI, 54301-2241
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790775450
Provider Name
Derek Carl Carlson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
301 E Saint Joseph St, Green Bay, WI, 54301-2241
Phone Number
920-433-3630
Fax Number
Provider Enumeration Date
10/25/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
301 E Saint Joseph St
City
Green Bay
State
Wisconsin
Zip
54301-2241
Phone Number
920-433-3630
Fax Number
person
Provider Business Mailing Address Details
Address
301 E Saint Joseph St
City
Green Bay
State
Wisconsin
Zip
54301-2241
Phone Number
920-433-3630
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Child & Adolescent Psychiatry
Taxonomy
2084P0804X
License No.
4301106248 (Michigan)
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
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