Individual
WALTER LAWRENCE CHMELEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3101 JOHN HUMPHRIES WYND, RALEIGH, NC 27612-5302
(919) 881-8272
(919) 881-2026
Mailing address
3101 JOHN HUMPHRIES WYND, RALEIGH, NC 27612-5302
(919) 881-8272
(919) 881-2026
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
31789
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0256M
MEDICARE GROUP NUMBER
NC
05
—
7922453
—
NC
Enumeration date
01/25/2006
Last updated
06/21/2012
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