Individual
JOHANNES LOURENS DU PISANIE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 MANNING DR, CHAPEL HILL, NC 27514-4220
(984) 974-1000
Mailing address
1126 HAVEN HOLLOW WAY, DURHAM, NC 27713-6052
(910) 269-7418
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
2020-01276
NC
390200000X
Student in an Organized Health Care Education/Training Program
2020-01276
NC
Other
Enumeration date
03/30/2018
Last updated
09/12/2024
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