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Individual

KAREN GROSSMANN TODD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3024 NEW BERN AVE, RALEIGH, NC 27610-1247
(919) 235-6505
(919) 350-8147
Mailing address
PO BOX 602195, CHARLOTTE, NC 28260-2195
(919) 350-8991
(919) 350-7687

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0095-00463
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
83566
BCBS
NC
05
8983566
NC
Enumeration date
06/01/2006
Last updated
12/21/2022
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