Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Primary Care |
261QP2300X |
| NPI Number | 1285127092 |
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| LBN Legal business name | MELISSA WOTRING-NORMAN, MD, PLLC | ||||
| Authorized official | MELISSA WOTRING-NORMAN - (OWNER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 06/07/2018 | ||||
| Last updated | 07/13/2018 - About 8 years ago | ||||
| Identifiers |
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