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Individual

WALLY FOLAD

Active
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Individual

WALLY FOLAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
17389
NV
207R00000X
Internal Medicine Physician
49722
KY
207R00000X
Internal Medicine Physician
50944
TN
208M00000X
Hospitalist Physician
17389
NV
208M00000X
Hospitalist Physician
50944
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6039779
BLUE CROSS/BLUE SHIELD
TN
01
P01505983
RR MEDICARE
TN
05
Q012228
TN
Enumeration date
05/17/2011
Last updated
11/12/2024
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