MEDICARE: DR. GERALD FRANCIS RONNING M.D.

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	2084P0800X	Psychiatry Physician	16978	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	51974801	OTHER	MN	UNITED BEHAVIORAL HEALTH
2	15-64974	OTHER	MN	MEDICA
3	HWHD8468	OTHER	MN	HEALTH PARTNERS
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	ON262RO	OTHER	MN	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1528193950
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GERALD FRANCIS RONNING M.D.

Provider Business Mailing Address
First Line	:	3033 EXCESIOR BLVD
Second Line	:	527
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55416-0532
Country	:	US
Telephone Number	:	612-321-9757
Fax Number	:	612-321-9013

Provider Business Practice Location Address
First Line	:	527 MARQUETTE AVE
Second Line	:	#1360
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55402-1302
Country	:	US
Telephone Number	:	612-321-9757
Fax Number	:	612-321-9013

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

Provider Enumeration Date	:	02/23/2007
Last Update Date	:	04/29/2015

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Directions to “ DR. GERALD FRANCIS RONNING M.D.” Practice Location

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