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1487669966

NPI Code Detail

MEDICARE: RONALD PETER GLINSKI MD,

MEDICARE: RONALD PETER GLINSKI MD,

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	24655	NC
2	208800000X	Urology Physician	24655	NC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	412013319	OTHER	NC	RAIL ROAD MEDICARE
6	P00841858	OTHER	NC	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	610997732	OTHER	NC	TRICARE
3	1920136	OTHER	NC	UNITED HEALTHCARE
4	24356	OTHER	NC	MEDCOST
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	6554443	OTHER	NC	CIGNA
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	35998	OTHER	NC	BLUE CROSS
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1487669966
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RONALD PETER GLINSKI MD,

Provider Business Mailing Address
First Line	:	PO BOX 602530
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28260-2530
Country	:	US
Telephone Number	:	910-642-5832
Fax Number	:	910-642-8814

Provider Business Practice Location Address
First Line	:	720 JEFFERSON ST
Second Line	:
City	:	WHITEVILLE
State	:	NC
Zip	:	28472-3706
Country	:	US
Telephone Number	:	910-642-5832
Fax Number	:	910-642-8814

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/30/2006
Last Update Date	:	12/09/2016

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Directions to “ RONALD PETER GLINSKI MD,” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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