Individual
DR. DEVON JOSEPH NIEWOHNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1 MEDICAL CENTER BLVD, WINSTON SALEM, NC 27103
(336) 716-2011
Mailing address
451 SHADY GROVE CT, WINSTON SALEM, NC 27103-5540
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
TR-167
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/26/2021
Last updated
08/19/2022
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