Individual
DR. BRIAN PATRICK AHLSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
353 MARKET STREET, SUITE 102, JOHNSTOWN, PA 15901-1711
(814) 539-9091
Mailing address
330 GARDNER STREET, JOHNSTOWN, PA 15905-2528
(814) 536-4157
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD038580-E
PA
Other
Enumeration date
05/31/2005
Last updated
09/19/2007
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