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Individual

ROBERT WOJTANOWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
886 HIGHWAY 411 N, ETOWAH, TN 37331-1912
(423) 263-3600
(423) 263-3601
Mailing address
3211 SHANNON RD, SUITE 300, DURHAM, NC 27707-6322
(919) 403-2028
(919) 419-7247

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
29941
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1507293
TN
01
4194067
BCBS
TN
01
P00667677
RAILROAD MCARE THRU AMS
TN
Enumeration date
06/06/2006
Last updated
03/19/2009
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