Individual
MARK AHLENIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9040 A JACKSON AVE MADIGAN ARMY MEDICAL CENTER, JOINT BASE LEWIS MCCHORD, WA 98431-4504
(253) 968-1110
Mailing address
3551 ROGER BROOKE DR, SAN ANTONIO MILITARY MEDICAL CENTER, PEDIATRIC RESIDENC, SAN ANTONIO, TX 78234-4504
(210) 916-3160
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101266050
VA
Other
Enumeration date
04/11/2017
Last updated
10/17/2024
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