Individual
DR. KAREN SENNEWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-4444
(336) 716-2255
Mailing address
MEDICAL CENTER BLVD, WINSTON-SALEM, NC 27157-0001
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
36827
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14943
SC MEDICAL LICENSE
SC
01
—
31121
GEORGIA MEDICAL LICENSE
GA
01
—
36827
NC MEDICAL LICENSE
NC
01
—
7521G
N C BLUE CROSS BLUE SHIEL
NC
05
—
8975666
—
NC
05
—
N36827
—
SC
Enumeration date
01/18/2006
Last updated
03/07/2023
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