Individual
DEBORAH H RALSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6007 33RD AVENUE DR, SHELLSBURG, IA 52332-9569
(920) 716-9925
Mailing address
905 FRANKLIN ST, WATERLOO, IA 50703-4407
(319) 874-3000
(319) 874-3411
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
42151
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0076372
—
IA
05
—
34010900
—
WI
Enumeration date
07/20/2006
Last updated
05/01/2018
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