| Doctor Name: | DR. WAYNE ALAN PSEK |
| NPI Number: | 1174851604 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 4390659 |
| Business Practice Address: | 1101 Mcgavran-greenberg Hall, Cb#7411 135 Dauer Dr. Chapel Hill, NC - 275997411 |
| Business Phone Number: | 9199238478 |
| Business Fax Number: | |
| Mailing Address: | 1101 Mcgavran-greenberg Hall, Cb#7411, 135 Dauer Dr. CHAPEL HILL |
| State: | NC |
| Postal Code: | 275997411 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 11/20/2009 |
| NPI Last Update Date: | 11/20/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 4390659 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ZZ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |