MR. THEODORE KORSGREN III, LPN
Licensed Practical Nurse
Active
Individual
NPI: 1497942585
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | Yes | 5364 (AK) |
Frequently Asked Questions
NPI 1497942585 is the National Provider Identifier for MR. THEODORE KORSGREN III, LPN, a Licensed Practical Nurse provider located in Fairbanks, AK. This NPI was enumerated on October 2, 2007.
MR. THEODORE KORSGREN III, LPN practices at 1717 W. COWLES ST., Fairbanks, AK 99701.
Quick Facts
- NPI
- 1497942585
- Type
- Individual
- Enumerated
- Oct 2, 2007
- Last Updated
- Dec 3, 2012
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