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Organization

PEDIATRIC ENDOCRINOLOGY & DIABETES SPECIALISTS

Active
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Organization

PEDIATRIC ENDOCRINOLOGY & DIABETES SPECIALISTS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DANIEL L WIENS (SENIOR VICE PRESIDENT)
(704) 355-0648
Entity
Organization

Contact information

Practice address
100 MEDICAL HEIGHTS DR, MORGANTON, NC 28655-5197
(704) 334-7950
(704) 334-7956
Mailing address
PO BOX 601381, CHARLOTTE, NC 28260-1381
(704) 334-7950
(704) 334-7956

Taxonomy

Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary

Other

Enumeration date
03/15/2010
Last updated
03/17/2010
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