Individual
CAROLYN DEE RYSGAARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1406 6TH AVENUE NORTH, ST CLOUD PATHOLOGISTS PA, ST CLOUD, MN 56303-1901
(320) 255-5632
(320) 255-5734
Mailing address
1406 6TH AVENUE NORTH, ST CLOUD PATHOLOGISTS PA, ST CLOUD, MN 56303-1901
(320) 255-5632
(320) 255-5734
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD-42330
IA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
R-9174
IA
Other
Enumeration date
05/26/2011
Last updated
05/09/2017
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