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Individual

OLAV NILENDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
301 YADKIN ST, ALBEMARLE, NC 28001-3441
(704) 984-4480
Mailing address
3310 WINDBLUFF DR, CHARLOTTE, NC 28277-9828
(704) 542-1650

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
18894
NC
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
18894
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8692669
NC
Enumeration date
10/23/2006
Last updated
01/16/2019
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