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1669797536
MECKLENBURG MEDICAL GROUP
HUNTERSVILLE, NC
NPI
1669797536
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Entity Type
Organization
Authorized Contact
DANIEL L WIENS
Senior Vice President
704-355-0648
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2010-04-02
Last Update Date
2010-04-02
Business Address
MECKLENBURG MEDICAL GROUP
16455 STATESVILLE ROAD SUITE 200
HUNTERSVILLE, NC 28078-7125
Phone number: 704-367-6610
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Mailing Address
MECKLENBURG MEDICAL GROUP
PO BOX 60063
CHARLOTTE, NC 28260-0063
Phone number: 704-367-6610
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