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Individual

DR. TODD R REULBACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10305 HAMPTONS PARK DRIVE, SUITE 201, HUNTERSVILLE, NC 28078-7217
(704) 295-3600
(704) 892-3181
Mailing address
6035 FAIRVIEW RD, CHARLOTTE, NC 28210-3256
(704) 295-3000
(704) 295-3468

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
9701561
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000297877
UNISON HEALTH PLAN OF SC
SC
01
134K5
BCBS
NC
01
20097009
SELECT HEALTH OF SC
SC
05
89134K5
NC
05
N01561
SC
01
P00026764
RAILROAD MEDICARE
NC
Enumeration date
03/14/2006
Last updated
04/26/2021
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