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Organization

UNION PHYSICIANS NETWORK INC

Active
Parent organization
UNION PHYSICIANS NETWORK INC
Other names
Union Surgical Associates
Organization subpart
Yes

Provider details

NPI number
Legal business name
UNION PHYSICIANS NETWORK INC
Authorized official
DANIEL WIENS (SENIOR VICE PRESIDENT)
(704) 355-0648
Entity
Organization

Contact information

Practice address
2700 PROVIDENCE ROAD, SOUTH SUITE 225, WAXHAW, NC 28173-0000
(704) 667-6700
Mailing address
PO BOX 60544, CHARLOTTE, NC 28260-0544

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5919558
NC
05
NPB468
SC
Enumeration date
11/16/2011
Last updated
06/01/2012
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