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Individual

RONALD L ELG

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1200 6TH AVE N, SAINT CLOUD, MN 56303-2735
(320) 252-5131
(320) 240-2118
Mailing address
1200 6TH AVE N, SAINT CLOUD, MN 56303-2735
(320) 252-5131
(320) 240-2118

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
22308
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0429415
MEDICA HEALTH PLANS
01
110898
UCARE
01
2114070
FIRST HEALTH PLAN
01
600912
ARAZ GROUP AMERICAS PPO
01
6D063EL
BLUE CROSS BLUE SHIELD
01
986008
PREFERRED ONE
01
HP22736
HEALTH PARTNERS
Enumeration date
11/02/2005
Last updated
03/07/2023
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