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General NPI Number Information
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NPI Number | 1588850481
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Entity Type | Organization
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Legal Business Name | GERALD F. RONNING MD PA
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Dates
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Enumeration Date | 09/25/2007
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Last Update Date | 09/25/2007
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Provider Practice Location Address
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Address Line | 527 MARQUETTE AVE
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City | MINNEAPOLIS
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State | MN
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Zip | 55402-1302
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Country | US
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Telephone | 612-321-9757
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Fax | 612-321-9013
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Provider Business Mailing Address
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Address Line | 527 MARQUETTE AVE
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City | MINNEAPOLIS
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State | MN
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Zip | 55402-1302
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Country | US
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Telephone | 612-321-9757
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Fax | 612-321-9013
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GERALD FRANCIS RONNING
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Credential |
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Telephone | 16123219757
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | 16978
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License Number State | MN
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