IndividualActive
Derek Carlson, MD
NPI 1790775450 · Child & Adolescent Psychiatry Physician · Green Bay, WI
Provider details
- NPI number
- 1790775450
- Entity type
- Individual
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 4301106248 (MI)
Practice location
301 E Saint Joseph St
Green Bay, WI 54301-2241
Phone: (920) 433-3630
Mailing address
301 E Saint Joseph St
Green Bay, WI 54301-2241
Registry dates
- Enumerated
- 2005-10-25
- Last updated
- 2020-11-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.