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Individual
DR. OLE BEHRENDTSEN
Active
Individual
DR. OLE BEHRENDTSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
37227
IA
207R00000X
Internal Medicine Physician
R6903
IA
2084P0800X
Psychiatry Physician
37227
IA
2084P0800X
Psychiatry Physician
Primary
A111247
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
56589
WELLMARK BCBS
IA
01
—
P00411059
RAILROAD MEDICARE
IA
Enumeration date
04/11/2007
Last updated
08/04/2011
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