Individual
DR. SCOTT DAVID WUERTZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2008-02085
NC
2085R0202X
Diagnostic Radiology Physician
MD28086
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5910879
—
NC
Enumeration date
06/09/2007
Last updated
03/27/2009
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