Individual
DR. GREGORY H WLODARSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2821 DAGGETT AVE STE 200, KLAMATH FALLS, OR 97601-1106
(541) 274-8400
(541) 274-8405
Mailing address
289 OLMSTED BLVD STE 7, PINEHURST, NC 28374-9023
(910) 295-2900
(910) 295-2935
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
95-01458
NC
207Q00000X
Family Medicine Physician
MD192071
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500762160
—
OR
01
—
88721
BCBS
NC
05
—
8988721
—
NC
Enumeration date
07/17/2006
Last updated
02/11/2020
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