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NPI Code Detail

MEDICARE: SYDNEY MICHELE RONCKA

MEDICARE: SYDNEY MICHELE RONCKA
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
1390200000XStudent in an Organized Health Care Education/Training ProgramOH

General Provider Information

NPI Number : 1689507725
Entity Type Code : Individual
Provider Name (Legal Business Name) : SYDNEY MICHELE RONCKA
Provider Business Mailing Address
First Line : 2221 MADISON AVE
Second Line :
City : TOLEDO
State : OH
Zip : 43604-7132
Country : US
Telephone Number : 419-251-1313
Fax Number :
Provider Business Practice Location Address
First Line : 2221 MADISON AVE
Second Line :
City : TOLEDO
State : OH
Zip : 43604-7132
Country : US
Telephone Number : 419-251-1313
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2026
Last Update Date : 06/08/2026

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Directions to “ SYDNEY MICHELE RONCKA ” Practice Location

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