Individual
TIMOTHY JON RONNEBERG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
559 CAPITOL BLVD, SAINT PAUL, MN 55103-2101
(651) 232-2000
(651) 232-2118
Mailing address
1364 GRAND AVE, SAINT PAUL, MN 55105-2203
(651) 698-0984
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
43779
MN
Other
Enumeration date
04/10/2006
Last updated
07/08/2007
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