Individual
TREVOR DOUGLAS WOLTERINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
169 ASHLEY AVENUE ROOM 202 MUH, MSC333, CHARLESTON, SC 29425-8905
(843) 792-1414
Mailing address
169 ASHLEY AVENUE, ROOM 202 MUH, MSC333, CHARLESTON, SC 29425
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
LL92749
SC
Other
Enumeration date
06/28/2024
Last updated
06/28/2024
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