Individual
HARRY WERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1995 WELLNESS BLVD, STE 110, BLDG B, MONROE, NC 28110-7769
(704) 384-1140
(704) 384-1141
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-1140
(704) 384-1141
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
174873
NY
207Q00000X
Family Medicine Physician
Primary
2012-02352
NC
207QS0010X
Sports Medicine (Family Medicine) Physician
174873
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1117519
—
NY
Enumeration date
07/28/2005
Last updated
10/25/2020
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