Organization
UNION PHYSICIANS NETWORK INC
Active
Parent organization
UNION PHYSICIANS NETWORK INC
Other names
Union Obstetrics & Gynecology
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNION PHYSICIANS NETWORK INC
Authorized official
DANIEL WIENS (SENIOR VICE PRESIDENT)
(704) 355-0648
Entity
Organization
Contact information
Practice address
2700 PROVIDENCE ROAD SOUTH, SUITE 200, WAXHAW, NC 28173-0000
(704) 667-6725
Mailing address
PO BOX 60154, CHARLOTTE, NC 28260-0154
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5919930
—
NC
Enumeration date
11/16/2011
Last updated
07/25/2012
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