Individual
DR. NORMAN A POULSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1132 ANNAPOLIS RD, ODENTON, MD 21113
(410) 874-1400
(410) 874-1411
Mailing address
3100 WYMAN PARK DR, STE 359A, BALTIMORE, MD 21211
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D20645
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
189101400
—
MD
Enumeration date
09/08/2006
Last updated
05/09/2013
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