Individual
MS. JOAN ELLEN WEISENBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
601 W HARRISON ST, REIDSVILLE, NC 27320-4621
(336) 349-3332
(336) 361-0022
Mailing address
320 STOKES RD, REIDSVILLE, NC 27320-8370
(336) 349-7114
(336) 361-0022
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
NC
Other
Enumeration date
11/29/2006
Last updated
07/08/2007
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