JELLE PHILIP JACOB VAN DER LIST

WINSTON SALEM, NC
NPI1013618651
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207XX0005X Orthopaedic Surgery, Sports Medicine
(Licence: NC  Pending)
Enumeration Date2023-03-10
Last Update Date2023-03-10
Business Address
Dr. JELLE PHILIP JACOB VAN DER LIST MD PhD
131 MILLER ST
WINSTON SALEM, NC 27103-2508
Phone number: 336-716-8091
Mailing Address
Dr. JELLE PHILIP JACOB VAN DER LIST MD PhD
ONE MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157-0001
Phone number:
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