Individual
OLE A RAUSTOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11 VANDERBILT PARK DR, ASHEVILLE, NC 28803-1700
(828) 213-1740
(828) 213-1742
Mailing address
PO BOX 602373, CHARLOTTE, NC 28260-2373
(828) 250-2833
(828) 651-6559
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
201002101
NC
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
201002101
NC
208000000X
Pediatrics Physician
2010-02101
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366583213
—
VA
05
—
5906059
—
NC
Enumeration date
02/12/2007
Last updated
02/08/2022
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