Individual
DR. DANIEL PAUL MISTROT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2825 LYNDHURST AVE STE 101, WINSTON SALEM, NC 27103-4146
(336) 277-4075
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2020-00894
NC
208600000X
Surgery Physician
4301500309
MI
Other
Enumeration date
05/02/2014
Last updated
10/27/2020
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