Provider Demographics
NPI:1346293263
Name:WOLICKI, KAROL T (MD)
Entity Type:Individual
Prefix:
First Name:KAROL
Middle Name:T
Last Name:WOLICKI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1701 WESTCHESTER DR
Mailing Address - Street 2:SUITE 850
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27262-7008
Mailing Address - Country:US
Mailing Address - Phone:336-802-2536
Mailing Address - Fax:336-802-2534
Practice Address - Street 1:1132 N CHURCH ST
Practice Address - Street 2:SUITE 200
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27401-1039
Practice Address - Country:US
Practice Address - Phone:336-379-9445
Practice Address - Fax:336-691-1704
Is Sole Proprietor?:No
Enumeration Date:2006-05-19
Last Update Date:2013-01-16
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Provider Licenses
StateLicense IDTaxonomies
NC30114207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8988828Medicaid
NC88828OtherBCBS
NC88828OtherBCBS
C87256Medicare UPIN