Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | 65161 | NC |
NPI | 1255545026 |
---|---|
Provider Name | Dr. Joseph Paul Hunstad |
First Address | Huntersville, NC 28078 |
Second Address | Charlotte, NC 28269-0014 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2007 |
Last Update Date | 22/12/2009 |