Individual
MR. ROBERT E WENSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ORTHOTIST
Contact information
Practice address
3641 WESTGATE CENTER CIR, SUITE B, WINSTON SALEM, NC 27103-2936
(336) 725-4555
(336) 725-4556
Mailing address
3641 WESTGATE CENTER CIR, SUITE B, WINSTON SALEM, NC 27103-2936
(336) 725-4555
(336) 725-4556
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
C22358
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7703050
—
NC
05
—
7795205
—
NC
Enumeration date
05/10/2007
Last updated
07/08/2013
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