Organization
WAKE PLASTIC SURGERY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM TODD STOECKEL M.D. (PLASTIC SURGEON)
(919) 600-0743
Entity
Organization
Contact information
Practice address
300 KEISLER DR, SUITE 102, CARY, NC 27518-7083
(919) 805-3441
(919) 869-2277
Mailing address
1820 CROSSROADS VISTA DR, APARTMENT #203, RALEIGH, NC 27606-4199
(919) 600-0743
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
200701681
NC
Other
Enumeration date
07/14/2008
Last updated
08/06/2008
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