Individual
MR. MICHAEL TODD RALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
407 S WHITE ST, DIRECTOR OF ANESTHESIA, MT PLEASANT, IA 52641-2263
(319) 385-6167
(319) 385-6754
Mailing address
407 S WHITE ST, DIRECTOR OF ANESTHESIA, MT PLEASANT, IA 52641-2263
(319) 385-6167
(319) 385-6754
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
03/17/2026
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