Individual
DR. BRYAN MONTY WECKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
310 S BENNETT ST, BURGAW, NC 28425-5048
(910) 259-1718
(910) 259-9929
Mailing address
PO BOX 1266, BURGAW, NC 28425-1266
(910) 259-1718
(910) 259-9929
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9901353
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89130TE
—
NC
Enumeration date
08/11/2006
Last updated
07/09/2007
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