THEODORE PRINS KISTEMAKER

WINSTON SALEM, NC
NPI1770523557
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NC  103628)
Enumeration Date2006-06-08
Last Update Date2014-04-28
Business Address
-- THEODORE PRINS KISTEMAKER PA-C
3333 BROOKVIEW HILLS BLVD STE 207
WINSTON SALEM, NC 27103-5661
Phone number: 336-765-5250
Mailing Address
-- THEODORE PRINS KISTEMAKER PA-C
1701 WESTCHESTER DR STE 850
HIGH POINT, NC 27262-7008
Phone number: 336-802-2400
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