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Individual

MICHAEL HOTELLING RUBIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1830 S HAWTHORNE RD, WINSTON SALEM, NC 27103-4047
(336) 765-0463
(336) 768-9452
Mailing address
1830 S HAWTHORNE RD, WINSTON SALEM, NC 27103-4047
(336) 765-0463
(336) 768-9452

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
22042
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2901101
UNITEDHEALTHCARE
01
73825
BLUE CROSS BLUE SHIELD
05
89-73825
NC
Enumeration date
08/18/2006
Last updated
07/08/2007
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