Provider Demographics
NPI:1760419808
Name:CARSON, LINDA FRANCES (MD)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:FRANCES
Last Name:CARSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UNIVERSITY OF MINNESOTA PHYSICIANS
Mailing Address - Street 2:420 DELAWARE STREET SE, MMC 395
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55455
Mailing Address - Country:US
Mailing Address - Phone:612-626-3111
Mailing Address - Fax:612-626-0665
Practice Address - Street 1:UNIVERSITY OF MINNESOTA PHYSICIANS
Practice Address - Street 2:516 DELAWARE STREET SE, PWB FIRST FLOOR, CLINIC 1C
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55455
Practice Address - Country:US
Practice Address - Phone:612-626-3444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2012-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN27763207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND10387Medicaid
MN36-04052OtherMEDICA PRIMARY
MN595909OtherARAZ
MNHP13042OtherHEALTHPARTNERS
MN2T529CAOtherBCBS
MN100727OtherUCARE
WI30623500Medicaid
MN07-24915OtherMEDICA
MN1000086OtherPREFERRED ONE
MN255568900Medicaid
MN36-04564OtherMEDICA CHOICE
MN36-04052OtherMEDICA PRIMARY
MN36-04564OtherMEDICA CHOICE
MN2T529CAOtherBCBS
WI30623500Medicaid
IA0570614Medicare ID - Type UnspecifiedIA MA