Provider Demographics
NPI:1396786679
Name:RING, ABIGAIL K (MD)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:K
Last Name:RING
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1027 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:DETROIT LAKES
Mailing Address - State:MN
Mailing Address - Zip Code:56501-3409
Mailing Address - Country:US
Mailing Address - Phone:218-847-5611
Mailing Address - Fax:218-847-0881
Practice Address - Street 1:1027 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:DETROIT LAKES
Practice Address - State:MN
Practice Address - Zip Code:56501-3409
Practice Address - Country:US
Practice Address - Phone:218-847-5611
Practice Address - Fax:218-847-0881
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2011-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN36970207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN786511OtherAMERICA'S PPO/ARAZ #
MNDA9031015669OtherPREFERRED ONE #
MN3T305RIOtherMNBS #
MNMN100026OtherLHS/BANNERHEALTH #
MN0105669OtherMEDICA #
MN17945Medicaid
MN282317900Medicaid
MN11979OtherNDBS #
MN4997OtherSIOUX VALLEY #
MN142057OtherUCARE #
MNHP19576OtherHEALTHPARTNERS #
MN11979OtherNDBS #
MN089004407Medicare ID - Type UnspecifiedMN MEDICARE #
MNF38735Medicare UPIN