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General NPI Number Information
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NPI Number | 1780643056
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Entity Type | Individual
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Provider Name | LOUIS RALOFSKY MD
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Gender | Male
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Dates
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Enumeration Date | 03/23/2006
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Last Update Date | 03/16/2023
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Provider Practice Location Address
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Address Line | 11001 US HIGHWAY 250 N STE B6
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City | MILAN
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State | OH
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Zip | 44846-9498
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Country | US
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Telephone | 440-984-6058
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Fax |
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Provider Business Mailing Address
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Address Line | 713 WINDWARD CIR
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City | SANDUSKY
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State | OH
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Zip | 44870-6524
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Country | US
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Telephone | 419-217-5433
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 3507344R
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License Number State | OH
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