| NPI | 1104499474 |
|---|---|
| Doing Business As | WESTERN WAKE SURGICAL |
| Entity Type | Organization |
| Authorized Contact | SHONDRA LYNN BRINK VP, Wpp Operations 919-350-6045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Enumeration Date | 2021-07-23 |
| Last Update Date | 2021-07-23 |