Individual
DR. RONALD JOSEPH KOLEGRAFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1008 EASTVIEW AVE, UNIT 8, OKOBOJI, IA 51355-2633
(712) 332-6001
(712) 332-6010
Mailing address
PO BOX 125, OKOBOJI, IA 51355-0125
(712) 332-6001
(712) 332-6010
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
24582
IA
208600000X
Surgery Physician
Primary
24582
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0223222
—
IA
Enumeration date
04/05/2006
Last updated
04/20/2022
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