Individual
KARL OLE FJELLSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1408 3RD ST SE STE 200, PUYALLUP, WA 98372-3702
(253) 268-3345
Mailing address
4513 152ND AVENUE CT E, SUMNER, WA 98390-2812
(253) 886-4392
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/18/2023
Last updated
08/18/2023
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