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Individual

DR. TROELS GLYSING-JENSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
237 N ABERDEEN AVE, LIFECARE PODIATRY, WAYNE, PA 19087-3537
(610) 293-9383
(610) 293-0409
Mailing address
237 N ABERDEEN AVE, LIFECARE PODIATRY, WAYNE, PA 19087-3537
(610) 293-9383
(610) 293-0409

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
E1-0000169
DE
213E00000X
Podiatrist
Primary
SC005575L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1000035515
DE
05
1011912040001
PA
01
E1-0000169
LICENSE
DE
01
SC005575L
LICENSE
PA
Enumeration date
10/06/2005
Last updated
02/12/2008
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