Provider Demographics
NPI:1174851604
Name:PSEK, WAYNE ALAN
Entity Type:Individual
Prefix:DR
First Name:WAYNE
Middle Name:ALAN
Last Name:PSEK
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1101 MCGAVRAN-GREENBERG HALL, CB#7411
Mailing Address - Street 2:135 DAUER DR.
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-7411
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1101 MCGAVRAN-GREENBERG HALL, CB#7411
Practice Address - Street 2:135 DAUER DR.
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-7411
Practice Address - Country:US
Practice Address - Phone:919-923-8478
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-11-20
Last Update Date:2009-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ZZ4390659208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice