Individual
DR. MARSHA D. RAULERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1205 BELLEVILLE AVE, BREWTON, AL 36426-1304
(251) 867-3608
(251) 867-3610
Mailing address
1205 BELLEVILLE AVE, BREWTON, AL 36426-1304
(251) 867-3608
(251) 867-3610
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4469
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000009768
—
AL
01
—
51009768
BC/BS OF ALABAMA
AL
05
—
541393901
—
AL
05
—
911084400
—
FL
Enumeration date
11/10/2005
Last updated
04/29/2011
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