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RICHARD OSWALD FOLLWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
2221 SE OCEAN BLVD, SUITE 200, STUART, FL 34996-3341
(772) 219-4026
(772) 283-4919
Mailing address
PO BOX 417, STUART, FL 34995-0417
(772) 223-2832
(772) 223-5646

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2000153636
MO
208600000X
Surgery Physician
Primary
OS11914
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
014114300
FL
01
17-01150
UNITED HEALTHCARE
MO
01
17007
GHP
MO
01
179066
BLUECROSS/BLUESHIELD
MO
05
208357301
MO
01
2114206
FIRST HEALTH/CNN
MO
01
546711
HEALTHLINK
MO
01
76-0728896
PRIVATE HEALTHCARE SYSTEM
MO
01
P00009295
RAILROAD MEDICARE
MO
Enumeration date
09/20/2005
Last updated
02/17/2015
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