| NPI | 1851655930 |
|---|---|
| Doing Business As | HANOVER GASTROENTEROLOGY |
| Entity Type | Organization |
| Authorized Contact | DANIEL L WIENS Administrator 704-355-0648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2012-07-03 |
| Last Update Date | 2012-08-17 |