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Organization
LAKE NORMAN EARS NOSE AND THROAT PA
Active
Organization
LAKE NORMAN EARS NOSE AND THROAT PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HERBERT LEE WETTREICH MD (MD)
(704) 664-9368
Entity
Organization
Contact information
Practice address
140 GATEWAY BLVD, MOORESVILLE, NC 28117
(704) 664-9638
(704) 664-1859
Mailing address
140 GATEWAY BLVD, MOORESVILLE, NC 28117
(704) 664-9638
(704) 664-1859
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
NULL
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
07/10/2006
Last updated
12/09/2009
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