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Contact Information

RODERICK R BYRON, MD
924 1ST ST NE
FARIBAULT, MN55021-5441
 Phone: 507-333-3300
 Fax: 507-333-3214
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for RODERICK R BYRON · (Male)

NPI # 1003849092
Status Active
Credentials MD
Entity Individual
Enumeration date 07/10/2006
Last updated 03/23/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 27308
  • SD License # 11660
  • MN Medicaid 088448100
  • Other 020045514 RAIL ROAD MEDICARE
Hospital affiliation(s)
  • GLENDIVE MEDICAL CENTER - (Critical Access)
    202 PROSPECT DR
    GLENDIVE, MT 59330
  • HOLY ROSARY HEALTHCARE - (Critical Access)
    2600 WILSON ST
    MILES CITY, MT 59301
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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