Individual
RONALD CARL SKOOGBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3025 HARBOR LANE, SUITE 101, PLYMOUTH, MN 55447-5141
(763) 746-3737
(866) 602-2777
Mailing address
3025 HARBOR LANE, SUITE 101, PLYMOUTH, MN 55447-5141
(763) 746-3737
(866) 602-2777
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
28992
MN
Other
Enumeration date
05/16/2012
Last updated
05/16/2012
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