Individual
DAVID TOLLERUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
485 E GRAY ST, SUITE 205A, LOUISVILLE, KY 40202-1741
(502) 442-1013
Mailing address
485 E GRAY ST, SUITE 205A, LOUISVILLE, KY 40202-1741
(502) 442-1013
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
35438
KY
Other
Enumeration date
11/15/2013
Last updated
11/15/2013
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