Individual
THEODORE ROBISON WINNEBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1414 PHYSICIANS DR, WILMINGTON, NC 28401-7335
(910) 796-8042
Mailing address
1414 PHYSICIANS DR, WILMINGTON, NC 28401-7335
(910) 796-8042
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
27345
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-28850
UNITED HEALTHCARE
NC
01
—
88544
BCBS
NC
05
—
8988544
—
NC
01
—
930040266
RAILROAD MEDICARE
NC
01
—
930077054
RAILROAD MEDICARE
NC
01
—
B4562
MEDCOST
NC
05
—
N27345
—
SC
Enumeration date
06/24/2005
Last updated
09/12/2014
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