Organization
UNION PHYSICIANS NETWORK INC
Active
Parent organization
UNION PHYSICIANS NETWORK INC
Other names
Union Surgical Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNION PHYSICIANS NETWORK INC
Authorized official
DANIEL L WIENS (SENIOR VICE PRESIDENT)
(704) 355-0648
Entity
Organization
Contact information
Practice address
1550 FAULK STREET, SUITE 1100, MONROE, NC 28112-5087
(704) 289-3024
(704) 226-1236
Mailing address
PO BOX 60544, CHARLOTTE, NC 28260-0544
(704) 289-3024
(704) 226-1236
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NPB143
BLUE CROSS BLUE SHIELD
NC
Enumeration date
08/05/2006
Last updated
08/19/2011
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