MEDICARE: DR. RONALD SHEMENSKI M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	34040098	OH

General Provider Information

NPI Number	:	1598709669
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RONALD SHEMENSKI M.D.

Provider Business Mailing Address
First Line	:	7685 W PORTAGE RIVER SOUTH RD
Second Line	:
City	:	OAK HARBOR
State	:	OH
Zip	:	43449-9615
Country	:	US
Telephone Number	:	419-898-3852
Fax Number	:

Provider Business Practice Location Address
First Line	:	7685 W PORTAGE RIVER SOUTH RD
Second Line	:
City	:	OAK HARBOR
State	:	OH
Zip	:	43449-9615
Country	:	US
Telephone Number	:	419-898-3852
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2006
Last Update Date	:	01/23/2012

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