DR. Wendell T Poulsen JR., M.D.
NPI #1457326811 in Gloucester, Virginia
Provider Information
- NPI Number
- 1457326811
- Entity Type
- Individual
- Name
- DR. Wendell T Poulsen JR., M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Family Medicine
- Credential
- M.D.
- Enumeration Date
- Feb 21, 2006
- Last Updated
- Jan 11, 2012
Practice Location
- Address
- 5659 PARKWAY DR
- Address 2
- STE 100
- City
- Gloucester
- State
- Virginia
- ZIP Code
- 23061-3792
- Phone
- (804) 210-1005
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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