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Organization
UNION PHYSICIANS NETWORK INC
Active
Organization
UNION PHYSICIANS NETWORK INC
Active
Parent organization
UNION PHYSICIANS NETWORK INC
Other names
Union Family Practice
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNION PHYSICIANS NETWORK INC
Authorized official
MR. DANIEL L WIENS (SENIOR VICE PRESIDENT)
(704) 355-0648
Entity
Organization
Contact information
Practice address
1106 REYNOLDS ST, SUITE 100, MONROE, NC 28112-4350
(704) 289-5443
(704) 283-7655
Mailing address
P O BOX 601888, CHARLOTTE, NC 28260-0628
(704) 289-5443
(704) 283-7655
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018P6
BCBS
NC
05
—
5905686
—
NC
05
—
7705117
—
NC
05
—
NPB206
—
SC
Enumeration date
11/27/2006
Last updated
08/19/2011
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