Provider Demographics
NPI:1356327795
Name:LESS, RONALD F (MD)
Entity Type:Individual
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First Name:RONALD
Middle Name:F
Last Name:LESS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:17 EXCHANGE ST W
Mailing Address - Street 2:SUITE 622
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55102-1045
Mailing Address - Country:US
Mailing Address - Phone:651-227-9141
Mailing Address - Fax:651-265-6772
Practice Address - Street 1:1655 BEAM AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:MAPLEWOOD
Practice Address - State:MN
Practice Address - Zip Code:55109-1163
Practice Address - Country:US
Practice Address - Phone:651-227-9141
Practice Address - Fax:651-265-6772
Is Sole Proprietor?:No
Enumeration Date:2005-12-19
Last Update Date:2017-01-09
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Provider Licenses
StateLicense IDTaxonomies
MN39123207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
0700149OtherSELECT CARE
32319600OtherWISCONSIN MA
68561OtherARAZ
HP20067OtherEMHD
160001070OtherMETRAHEALTH MEDICARE
960981011540OtherPREICH PROVIDER NUMBER
G30280OtherRR MEDICARE
0700149OtherMEDICA PRIMARY
22A80LEOtherBCBC
MN089013800Medicaid
1011540OtherPREFERRED ONE
960981011540OtherPEAK PROVIDER NUMBER
0700149OtherMEDICA CHOICE
089013800OtherMN MEDICAL ASSISTANCE
114052C280OtherUCARE
G30280Medicare UPIN