Individual
RONDELL P GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
54118
MN
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
54118
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/06/2009
Last updated
10/06/2020
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