person
Peter Thomas Leistikow
Student in an Organized Health Care Education/Training Program in Winston Salem, North Carolina
NPI 1639829088

Peter Thomas Leistikow is a Student in an Organized Health Care Education/Training Program based in Fuquay Varina, NC. Peter Thomas Leistikow practices in Winston Salem, NC. The NPI Number for Peter Thomas Leistikow is 1639829088 and holds a License No. (North Carolina).

The current practice location address for Peter Thomas Leistikow is 1 Medical Center Blvd, Winston Salem, NC and can be reached out via phone at 336-716-2011.

Location: 1 Medical Center Blvd, Winston Salem, NC, 27526-3529
person
Provider Profile Details
NPI Number
1639829088
Provider Name
Peter Thomas Leistikow
Credential
Provider Entity Type
Individual
Gender
Male
Address
1 Medical Center Blvd, Winston Salem, NC, 27526-3529
Phone Number
336-716-2011
Fax Number
Provider Enumeration Date
03/28/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1 Medical Center Blvd
City
State
Zip
27157-0001
Phone Number
336-716-2011
Fax Number
person
Provider Business Mailing Address Details
Address
1 Medical Center Blvd
City
State
Zip
27157-0001
Phone Number
336-716-2011
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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