MEDICARE: DR. WILLIAM EDWIN RONIGER 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	207VE0102X	Reproductive Endocrinology Physician	014206	LA

General Provider Information

NPI Number	:	1740286343
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM EDWIN RONIGER M.D.

Provider Business Mailing Address
First Line	:	412 AURORA AVE
Second Line	:
City	:	METAIRIE
State	:	LA
Zip	:	70005-3212
Country	:	US
Telephone Number	:	504-371-8612
Fax Number	:	504-304-8670

Provider Business Practice Location Address
First Line	:	412 AURORA AVE
Second Line	:
City	:	METAIRIE
State	:	LA
Zip	:	70005-3212
Country	:	US
Telephone Number	:	504-371-8612
Fax Number	:

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

Provider Enumeration Date	:	06/28/2005
Last Update Date	:	08/30/2011

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