Individual
DR. RYAN PATRICK TERLECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
140 CHARLOIS BLVD, WINSTON SALEM, NC 27103-1522
(336) 716-4131
(336) 716-9042
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2011
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
2010-00880
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5914760
—
NC
Enumeration date
06/27/2007
Last updated
02/03/2017
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