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Individual

GREGORY WERTMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3000 NEW BERN AVE, RALEIGH, NC 27610
(919) 350-8000
Mailing address
6011 TENTER BANKS SQ, RALEIGH, NC 27609-8210
(234) 300-1533

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
123601
NC
367500000X
Certified Registered Nurse Anesthetist
123601
OH

Other

Enumeration date
02/22/2018
Last updated
10/08/2018
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