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Individual

DR. MICHAEL BRUCE WERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
520 N ELAM AVE, GREENSBORO, NC 27403-1127
(336) 547-1801
(336) 547-1828
Mailing address
1200 N ELM ST, GREENSBORO, NC 27401-1004
(336) 832-7000
(336) 547-1828

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
32449
NC
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
32449
NC
207RP1001X
Pulmonary Disease Physician
Primary
32449
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
33713
MEDCOST
NC
01
4099233
AETNA
NC
01
626
PARTNERS MEDICARE
NC
01
86578
BCBS NC
NC
05
8986578
NC
Enumeration date
05/09/2006
Last updated
12/05/2012
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