Individual
DR. TORE KVASLERUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D:
Contact information
Practice address
300 20TH AVE N FL 789, NASHVILLE, TN 37203-2131
(615) 284-1400
(615) 284-1420
Mailing address
1520 N SENATE AVE, INDIANAPOLIS, IN 46202-2213
(317) 962-8893
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
54427
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q023054
—
TN
Enumeration date
06/19/2013
Last updated
01/09/2017
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