SHAWN EDMUND VAN WALLENDAEL

CHARLOTTE, NC
NPI1376570689
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NC  103076)
Enumeration Date2006-06-26
Last Update Date2024-07-15
Business Address
SHAWN EDMUND VAN WALLENDAEL PA
10648 PARK RD
CHARLOTTE, NC 28210-8407
Phone number: 704-355-9330
Mailing Address
SHAWN EDMUND VAN WALLENDAEL PA
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone number:
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