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Organization

UNION PHYSICIANS NETWORK INC

Active
Parent organization
UNION PHYSICIANS NETWORK, INC
Other names
UPN SHVI - Monroe
Organization subpart
Yes

Provider details

NPI number
Legal business name
UNION PHYSICIANS NETWORK, INC
Authorized official
MR. DANIEL L WIENS (SENIOR VICE PRESIDENT)
(704) 335-0648
Entity
Organization

Contact information

Practice address
1550 FAULK STREET, SUITE 3100, MONROE, NC 28112-5197
(704) 667-3410
(704) 667-3479
Mailing address
PO BOX 602545, CHARLOTTE, NC 28260-2545
(704) 667-3410
(704) 667-3479

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5917589
NC
05
NPB460
SC
Enumeration date
03/15/2011
Last updated
03/22/2012
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