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1164421285
STEPHEN LEE WALLENHAUPT
CHARLOTTE, NC
NPI
1164421285
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)
(Licence: NC 26402)
Enumeration Date
2005-07-20
Last Update Date
2007-07-08
Business Address
-- STEPHEN LEE WALLENHAUPT MD
1718 E 4TH ST SUITE 701
CHARLOTTE, NC 28204-3261
Phone number: 704-316-5100
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Mailing Address
-- STEPHEN LEE WALLENHAUPT MD
1718 E 4TH ST SUITE 701
CHARLOTTE, NC 28204-3261
Phone number: 704-316-5100
Copy
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