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Individual
DR. THOMAS E TERNDRUP
Active
Individual
DR. THOMAS E TERNDRUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
00022428
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000060588
—
AL
01
—
051060588
BCBS PROVIDER NUMBER
AL
01
—
930083701
RRMC PROVIDER NUMBER
AL
Enumeration date
11/16/2005
Last updated
07/19/2013
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