Individual
LIZABETH RALLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
13924 WADAGA RD, BARAGA, MI 49908-9204
(715) 492-8454
Mailing address
N10601 CEDAR LN, IRONWOOD, MI 49938-9619
(715) 492-8454
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
4301055482
MI
Other
Enumeration date
10/12/2021
Last updated
10/12/2021
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