Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 10092318-8905 | UT |
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 0101273002 | VA |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 259810 | NC |
NPI | 1417341314 |
---|---|
Provider Name | Dr. Ian Matthew Duensing |
First Address | Charlottesville, VA 22906-9007 |
Second Address | Charlottesville, VA 22903-2981 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2015 |
Last Update Date | 01/09/2021 |