Individual
DR. MICHAEL WAYNE KLINKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
110 KILDAIRE PARK DR, CARY, NC 27518-8162
(919) 859-1136
Mailing address
PO BOX 603949, CHARLOTTE, NC 28260-3949
(919) 350-0351
(919) 350-7687
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34652
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184675423
—
NC
01
—
49646
BCBS
NC
05
—
8911495
—
NC
Enumeration date
05/12/2006
Last updated
03/07/2023
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