Organization
UNION PHYSICIANS NETWORK INC
Active
Parent organization
UNION PHYSICIANS NETWORK INC
Other names
Union Obstetrics & Gynecology
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNION PHYSICIANS NETWORK INC
Authorized official
DANIEL L WIENS (SENIOR VICE PRESIDENT OF OPERATIONS)
(704) 355-0648
Entity
Organization
Contact information
Practice address
1550 FAULK STREET, SUITE 2100, MONROE, NC 28112-5087
(704) 289-2553
(704) 289-6496
Mailing address
PO BOX 60154, CHARLOTTE, NC 28260-0154
(704) 289-2553
(704) 289-6496
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017Y2
BCBS
NC
05
—
5902877
—
NC
05
—
5902878
—
NC
05
—
NPB170
—
SC
05
—
NPB171
—
SC
Enumeration date
07/09/2006
Last updated
08/19/2011
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