Individual
DALANE KITZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
31849
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
213884000
—
WV
01
—
3498
PARTNERS
NC
01
—
4620469
AETNA
—
01
—
49621
BCBS
NC
05
—
6049745
—
VA
01
—
64004
MEDCOST
NC
05
—
8949621
—
NC
05
—
Q31849
—
SC
Enumeration date
12/09/2005
Last updated
05/12/2008
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