Whalio Doctors

NPI 1912946096

Witold S. Niesluchowski, MD

Practitioner Phlebology Physician Mooresville, NC

Practice location

Address
206 Joe V. Knox Avenue Suite H, Mooresville, NC 28117-8104
Phone
(424) 488-3467
Fax
(704) 661-1396

Registered specialties (4)

Phlebology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 202K00000X Licence 00483 (NC)
Specialist
Other Service Providers Taxonomy 174400000X Licence A40288 (CA)
Specialist
Other Service Providers Taxonomy 174400000X Licence 186439 (NC)
Vascular Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 2086S0129X Licence 186439 (NC)

Registry record

NPI
1912946096
Entity type
Individual
Sex (as registered)
Male
NPI issued
5 Jun 2006
Record last updated
17 Jun 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.