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Individual

RUSSELL REID MARGRAF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD PHD

Contact information

Practice address
5838 SIX FORKS RD, SUITE 100, RALEIGH, NC 27609-3885
(919) 785-3400
(919) 783-7778
Mailing address
5838 SIX FORKS RD, SUITE 100, RALEIGH, NC 27609-3885
(919) 785-3400
(919) 783-7778

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
200101574
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
89132U1
NC
Enumeration date
02/17/2006
Last updated
10/25/2010
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