Individual
ZACHARY BLAZE WUNROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
791 JONESTOWN RD, WINSTON SALEM, NC 27103-1252
(336) 716-4551
(336) 716-9642
Mailing address
100 KIMEL FOREST DR, WINSTON SALEM, NC 27103-6074
(336) 713-0947
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2023-01038
NC
Other
Enumeration date
03/20/2019
Last updated
12/05/2023
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