# WAKE PLASTIC SURGERY, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316101876
- **Authorized official:** WILLIAM TODD STOECKEL M.D. (PLASTIC SURGEON)
- **Authorized official phone:** (919) 600-0743

## Contact information

- **Practice address:** 300 KEISLER DR, SUITE 102, CARY, NC 27518-7083
- **Practice address phone:** (919) 805-3441
- **Practice address fax:** (919) 869-2277
- **Mailing address:** 1820 CROSSROADS VISTA DR, APARTMENT \#203, RALEIGH, NC 27606-4199
- **Mailing address phone:** (919) 600-0743

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 200701681 | NC | Yes |

## Other

- **Enumeration date:** 07/14/2008
- **Last updated:** 08/06/2008