Doctor Name: | DR. RONALD JOHN GREENWALD |
NPI Number: | 1043551641 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DVM |
License Number: | 1926 |
Business Practice Address: | 6210 Industrial Ct Veterinary Medical Associates Greendale, WI - 531292432 |
Business Phone Number: | 4144211800 |
Business Fax Number: | 4144212584 |
Mailing Address: | 6210 Industrial Ct, Veterinary Medical Associates GREENDALE |
State: | WI |
Postal Code: | 531292432 |
Phone Number: | 4144211800 |
Fax Number: | 4144212584 |
NPI Enumeration Date: | 03/06/2013 |
NPI Last Update Date: | 03/06/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174M00000X |
License Number: | 1926 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Veterinarian |
Taxonomy Specialization: | |
Taxonomy Definition: | A doctor of veterinary medicine, trained and authorized to practice veterinarian medicine and surgery. |