Individual
WILLIAM BLAIR WALDEN
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) 716-4195
(336) 716-3202
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-4195
(336) 716-3202
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2013-02200
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
NC
Other
Enumeration date
06/09/2011
Last updated
05/16/2016
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