Individual
PETER A WALLENBORN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
285 MCDOWELL ST, ASHEVILLE, NC 28803-2606
(828) 252-1853
(828) 259-9468
Mailing address
285 MCDOWELL ST, ASHEVILLE, NC 28803-2606
(828) 252-1853
(828) 259-9468
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
27865
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1070343
UNITED HEALTHCARE
—
01
—
85517
BCBSNC
NC
05
—
8985517
—
NC
Enumeration date
08/31/2006
Last updated
07/08/2007
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