| Union Family Practice | |
|
1106 Reynolds St Suite 100 Monroe NC 28112-4350 | |
| (704) 289-5443 | |
| (704) 283-7655 |
| Full Name | Union Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 1106 Reynolds St, Monroe, North Carolina |
| Authorized Official Name and Position | Daniel L Wiens (SENIOR VICE PRESIDENT) |
| Authorized Official Contact | 7043550648 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Union Family Practice P O Box 601888 Charlotte NC 28260-0628 Ph: (704) 289-5443 | Union Family Practice 1106 Reynolds St Suite 100 Monroe NC 28112-4350 Ph: (704) 289-5443 |
| NPI Number | 1962578682 |
|---|---|
| Provider Enumeration Date | 11/27/2006 |
| Last Update Date | 08/19/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962578682 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (North Carolina) | Secondary |
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