SearchNorth Carolina207Q00000X

Ronald Desrouilleres, DO

NPI 1285139410 · on the registry since 2018 · sole proprietor

Practice

Address
4105 Matthews Mint Hill Rd
Matthews, NC 28105
Phone
(704) 316-3095
Fax
(704) 316-3096
Organisation at this address
Novant Health Medical Group, Llc
Carolinas Physicians Network Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Additional practice sites

  • 7600 River Rd, North Bergen, NJ
  • 462 Grider St, Buffalo, NY
  • 2350 Ridgeway Ave Ste A, Rochester, NY

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Also registered as
207Q00000X
390200000X
Licence states on file
NY, NC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-09-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina