Provider Demographics
NPI:1720164833
Name:MESSNER, RONALD PIERCE (MD)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:PIERCE
Last Name:MESSNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:420 DELAWARE ST SE, MMC 108
Mailing Address - Street 2:UNIVERSITY OF MINNESOTA PHYSICIANS
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55455
Mailing Address - Country:US
Mailing Address - Phone:612-625-8690
Mailing Address - Fax:
Practice Address - Street 1:516 DELAWARE STREET SE, CLINIC 6A
Practice Address - Street 2:UNIVERSITY OF MINNESOTA PHYSICIANS
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55455
Practice Address - Country:US
Practice Address - Phone:612-625-8690
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN17246207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
32-70009OtherMEDICA PRIMARY
2T167MEOtherBLUE CROSS BLUE SHIELD
100775OtherUCARE
1009240OtherPREFERRED ONE
768261OtherARAZ
WI30713200Medicaid
3224569OtherMEDICA CHOICE
HP22250OtherHEALTH PARTNERS
WI30713200Medicaid