Individual
DR. JONATHAN MASLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Mailing address
448 S HAWTHORNE RD, WINSTON SALEM, NC 27103-3785
(206) 276-3958
Taxonomy
Speciality
Code
Description
License number
State
207YX0901X
Otology & Neurotology Physician
Primary
MD179501
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/01/2011
Last updated
01/24/2022
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