Basic Information
Provider Information
NPI: 1912946641
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: WESTLE
FirstName: MARC
MiddleName: BRUCE
NamePrefix: DR.
NameSuffix:  
Credential: DO
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 602373
Address2:  
City: CHARLOTTE
State: NC
PostalCode: 282602373
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 509 BILTMORE AVE
Address2:  
City: ASHEVILLE
State: NC
PostalCode: 288014601
CountryCode: US
TelephoneNumber: 8282130273
FaxNumber: 8662859740
Other Information
ProviderEnumerationDate: 06/06/2006
LastUpdateDate: 03/19/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X200000661NCY Allopathic & Osteopathic PhysiciansInternal Medicine 
208M00000X200000661NCN Allopathic & Osteopathic PhysiciansHospitalist 

No ID Information.


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