Individual
MR. MICHAEL HUNTER TOLLESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
625 W ELM AVE, HANOVER, PA 17331-5125
(717) 646-2959
Mailing address
625 W ELM AVE, HANOVER, PA 17331-5125
(717) 632-4900
(717) 632-4313
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP022096
PA
Other
Enumeration date
06/25/2020
Last updated
06/25/2020
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