Individual
RONALD LEE PROUTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2594 TILDEN TRL SW, PINE RIVER, MN 56474-4041
(218) 587-4681
(218) 587-4290
Mailing address
PO BOX 487, PINE RIVER, MN 56474-0487
(218) 587-4681
(218) 587-4290
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2553
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44G58PR
BCBS
—
01
—
46G64PR
BCBS
—
05
—
631528300
—
MN
Enumeration date
08/31/2006
Last updated
12/27/2011
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