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Individual

MR. RALPH L EDWARDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
915 FAIRMONT AVE, EAU CLAIRE, WI 54703-5806
(608) 863-1630
Mailing address
915 FAIRMONT AVE, EAU CLAIRE, WI 54703-5806
(715) 210-0079

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
82441-30
WI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
82441-30
WI

Other

Enumeration date
11/17/2020
Last updated
12/11/2020
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