Dr. Roger A. Ralston, MD
Internal Medicine in Grand Rapids, MN. Individual provider (NPI-1).
NPI number1609853258
StatusActive
Last updated in NPPESFeb 7, 2013
Details
- NPI
- 1609853258
- Entity type
- Individual (NPI-1)
- Name
- Dr. Roger A. Ralston
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 26, 2005
- Last updated
- Feb 7, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 21192 | MN | Yes |
Practice location
1601 Golf Course RdGrand Rapids, MN 55744-8648
Phone 218-326-5000
Mailing address
1601 Golf Course RdGrand Rapids, MN 55744-8648
Phone 218-326-5000
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