Individual
RICKY P CLAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
210 9TH ST SE, ROCHESTER, MN 55904-6756
(507) 288-3443
Mailing address
210 9TH ST SE, ROCHESTER, MN 55904-6756
(507) 288-3443
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
21725
MS
208200000X
Plastic Surgery Physician
Primary
26207
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
402515600
—
MN
Enumeration date
01/04/2006
Last updated
10/03/2018
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