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Individual

DR. JOHN DAVID WREN

Active
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Individual

DR. JOHN DAVID WREN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
10037
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10037
STATE MEDICAL BOARD
SC
01
—
2009-00981
STATE MEDICAL BOARD
NC
05
—
P10037
—
SC
Enumeration date
02/17/2006
Last updated
04/17/2018
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