Provider Demographics
NPI:1528193950
Name:RONNING, GERALD FRANCIS (MD)
Entity Type:Individual
Prefix:DR
First Name:GERALD
Middle Name:FRANCIS
Last Name:RONNING
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3033 EXCESIOR BLVD
Mailing Address - Street 2:527
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55416-0532
Mailing Address - Country:US
Mailing Address - Phone:612-321-9757
Mailing Address - Fax:612-321-9013
Practice Address - Street 1:527 MARQUETTE AVE
Practice Address - Street 2:#1360
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55402-1302
Practice Address - Country:US
Practice Address - Phone:612-321-9757
Practice Address - Fax:612-321-9013
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-23
Last Update Date:2015-04-29
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Provider Licenses
StateLicense IDTaxonomies
MN169782084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN51974801OtherUNITED BEHAVIORAL HEALTH
MN15-64974OtherMEDICA
MNHWHD8468OtherHEALTH PARTNERS
MN295085500Medicaid
MNON262ROOtherBLUE CROSS BLUE SHIELD