Individual
RODERICK RALPH BYRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
924 1ST ST NE, FARIBAULT, MN 55021-5441
(507) 333-3300
(507) 333-3214
Mailing address
924 1ST ST NE, FARIBAULT, MN 55021-5441
(507) 333-3300
(507) 333-3214
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
11660
SD
208600000X
Surgery Physician
Primary
27308
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020045514
RAIL ROAD MEDICARE
—
05
—
088448100
—
MN
Enumeration date
07/10/2006
Last updated
03/23/2022
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