Individual
GANESH RAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1400 BELLINGER ST, EAU CLAIRE, WI 54703-5222
(715) 838-5222
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
950
WI
363AM0700X
Medical Physician Assistant
950
WI
363AS0400X
Surgical Physician Assistant
2005034534
MO
363AS0400X
Surgical Physician Assistant
950
WI
Other
Enumeration date
06/13/2005
Last updated
07/24/2024
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