Individual
RONALD D ISACKSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
109 7TH ST W, DICKINSON, ND 58601-3949
(701) 483-2973
(701) 483-2983
Mailing address
109 7TH ST W, DICKINSON, ND 58601-3949
(701) 483-2973
(701) 483-2983
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
9777
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13286
—
ND
Enumeration date
08/22/2005
Last updated
07/08/2007
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