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Individual

ROLAND FOLSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2 VIRGINIA LANE, SPRINGFIELD, IL 62712
(217) 529-2940
(217) 529-2940
Mailing address
2 VIRGINIA LANE, SPRINGFIELD, IL 62712
(217) 529-2940
(217) 529-2940

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036-044980
IL

Other

Enumeration date
09/07/2012
Last updated
09/07/2012
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