Individual
DR. STEPHEN P OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2131 S 17TH ST, WILMINGTON, NC 28401-7407
(910) 343-7074
(910) 343-7829
Mailing address
PO BOX 20169, ROANOKE, VA 24018-0506
(540) 767-2700
(540) 767-2708
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
2013108517
MO
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
2018-00265
NC
Other
Enumeration date
06/28/2013
Last updated
01/27/2023
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