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Individual

RONALD JAMES GRASON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
357 W DECATUR ST, DECATUR, IL 62522
(217) 428-8600
(217) 428-8600
Mailing address
357 W DECATUR ST, DECATUR, IL 62522
(217) 428-8600
(217) 428-8600

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
IL
208D00000X
General Practice Physician
Primary
IL

Other

Enumeration date
04/14/2008
Last updated
04/14/2008
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