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Individual

DR. JORGEN PER OLSSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
812 GORMAN AVE, ELKINS, WV 26241-3181
(304) 636-3300
(304) 637-3435
Mailing address
812 GORMAN AVE, ELKINS, WV 26241-3181
(304) 637-3948
(304) 636-0672

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
030173
GA
207V00000X
Obstetrics & Gynecology Physician
Primary
24514
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3810020675
WV
Enumeration date
05/22/2006
Last updated
05/06/2016
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