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Individual

MR. MICHAEL TODD RALLS

Active
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Individual

MR. MICHAEL TODD RALLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
209034725
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
D133382
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00C06U
BLUE CROSS BLUE SHIELD
TX
05
03477701
MS
05
1754870
LA
Enumeration date
11/23/2005
Last updated
05/29/2026
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