WENDELL T POULSEN

GLOUCESTER, VA
NPI1457326811
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: VA  0101031371)
Enumeration Date2006-02-21
Last Update Date2012-01-11
Business Address
Dr. WENDELL T POULSEN M.D.
5659 PARKWAY DR STE 100
GLOUCESTER, VA 23061-3792
Phone number: 804-210-1005
Mailing Address
Dr. WENDELL T POULSEN M.D.
5659 PARKWAY DR STE 100
GLOUCESTER, VA 23061-3792
Phone number: 804-210-1005