Most Relevant Information
Provider Data
| NPI Number: | 1003325069 |
| Provider Name: | MELISSA CARLSON |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/21/2017 |
| Last Updated: | 09/21/2017 |
Provider Practice Location
414 S DUBUQUE ST APT 4
IOWA CITY
IA
522404121
Practice Location Phone/Fax
| Phone: | 5158674785 |
| Fax: |
Provider Mailing Location
414 S DUBUQUE ST APT 4
IOWA CITY
IA
522404121
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |