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Individual

DR. TODD MICHAEL SHEILS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
121 N 20TH ST, # 18, OPELIKA, AL 36801-5449
(334) 749-8303
(334) 745-5243
Mailing address
121 NORTH 20TH STREET # 18, P.O. BOX 2125, OPELIKA, AL 36803-2125
(334) 749-8303
(334) 745-5243

Taxonomy

Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
00022944
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009953805
AL
05
009959815
AL
05
051554775
AL
01
51522487
BLUE CROSS & BLUE SHIELD
AL
01
51523506
BLUE CROSS & BLUE SHIELD
AL
01
51523509
BLUE CROSS & BLUE SHIELD
AL
Enumeration date
05/17/2006
Last updated
02/03/2010
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