| NPI | 1164770467 |
|---|---|
| Doing Business As | WESLEY CHAPEL FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | DANIEL L WIENS Administration 704-355-0648 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2012-08-17 |
| Last Update Date | 2013-07-24 |