Organization
MEDHEAD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE NIERZWICKI (MANAGER)
(414) 858-2208
Entity
Organization
Contact information
Practice address
35 MEMORIAL DR, PINEHURST, NC 28374-8708
(910) 715-5904
Mailing address
10625 W NORTH AVE STE 101, PO BOX 26428, MILWAUKEE, WI 53226-2315
(414) 858-2208
(414) 858-2230
Taxonomy
Speciality
Code
Description
License number
State
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
Primary
20090-00061
NC
Other
Enumeration date
06/26/2013
Last updated
04/20/2017
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