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Individual

DR. JOHN JOSEPH WASSEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
300 BILLINGSLEY RD, SUITE 105, CHARLOTTE, NC 28211-1075
(704) 384-4098
(704) 384-5743
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-7680

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
25095
NC
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
25095
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
898-5911
NC
Enumeration date
07/12/2006
Last updated
10/25/2020
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