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Organization

UNION PHYSICIANS NETWORK INC

Active
Parent organization
UNION PHYSICIANS NETWORK INC
Other names
Dove Internal Medicine
Organization subpart
Yes

Provider details

NPI number
Legal business name
UNION PHYSICIANS NETWORK INC
Authorized official
MR. DANIEL L WIENS (SENIOR VICE PRESIDENT)
(704) 355-0648
Entity
Organization

Contact information

Practice address
1423 E FRANKLIN ST, SUITE D, MONROE, NC 28112-5266
(704) 226-6474
(704) 289-2355
Mailing address
PO BOX 601885, CHARLOTTE, NC 28260-0628
(704) 226-6474
(704) 289-2355

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5905767
NC
05
5905768
NC
05
NPB208
SC
Enumeration date
11/27/2006
Last updated
08/19/2011
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