Individual
RYAN CHRISTOPHER WOLBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
4431 US HIGHWAY 220 N, SUMMERFIELD, NC 27358-9411
(336) 643-7711
(336) 643-3047
Mailing address
100 KIMEL FOREST DR, WINSTON SALEM, NC 27103-6074
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5019898
NC
363LF0000X
Family Nurse Practitioner
APN27286
SC
Other
Enumeration date
05/09/2023
Last updated
05/17/2024
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