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NPI Code Detail

MEDICARE: RONALD T. INDEN M.D.

MEDICARE: RONALD T. INDEN 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
12083X0100XOccupational Medicine Physician17997WI

General Provider Information

NPI Number : 1760502165
Entity Type Code : Individual
Provider Name (Legal Business Name) : RONALD T. INDEN M.D.
Provider Business Mailing Address
First Line : 720 COOL SPRINGS BLVD
Second Line : SUITE 300
City : FRANKLIN
State : TN
Zip : 37067-2626
Country : US
Telephone Number : 615-778-4066
Fax Number : 615-778-9114
Provider Business Practice Location Address
First Line : 2455 N 124TH ST
Second Line :
City : BROOKFIELD
State : WI
Zip : 53005-4630
Country : US
Telephone Number : 615-778-4066
Fax Number : 615-778-9114
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2007
Last Update Date : 04/02/2010

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