Healthcare Provider Details

I. General information

NPI: 1528055688
Provider Name (Legal Business Name): KAREN ELAINE CARLSON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KAREN ELAINE PFEISTER MD

II. Dates (important events)

Enumeration Date: 10/04/2005
Last Update Date: 11/10/2020
Certification Date: 11/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 DUFF AVE
AMES IA
50010-5793
US

IV. Provider business mailing address

1111 DUFF AVE
AMES IA
50010-5793
US

V. Phone/Fax

Practice location:
  • Phone: 515-239-4431
  • Fax: 515-239-3644
Mailing address:
  • Phone: 515-239-4431
  • Fax: 515-239-3644

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number31131
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: