MR. Wyatt Carlson is a student in an organized health care education training program in Rice Lake, WI. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. MR. Wyatt Carlson NPI is 1801337886. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
2162 18 1/2 ST
RICE LAKE, WI
ZIP 54868-503
Phone: (715) 651-3309
The enumeration date for this NPI number is 3/10/2017 and was last updated on 3/10/2017.