Individual
DR. IVAN WOLANIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2835 REYNOLDA RD, WINSTON SALEM, NC 27106-3110
(336) 723-6462
(336) 722-4617
Mailing address
2835 REYNOLDA RD, WINSTON SALEM, NC 27106-3110
(336) 723-6462
(336) 722-4617
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20801
NC
Other
Enumeration date
09/24/2010
Last updated
11/27/2015
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