Individual
PETER WRZESINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
U
Credential
MD
Contact information
Practice address
1700 SKYLYN DR, SPARTANBURG, SC 29307-1041
(864) 573-3000
Mailing address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 560-6000
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
340232
LA
2084P0800X
Psychiatry Physician
Primary
91720
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/20/2020
Last updated
07/01/2024
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