MEDICARE: DR. RONALD KARL SETZKORN MD

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	2085R0001X	Radiation Oncology Physician	35078637S	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	36-00515	OTHER	UNITED HEALTHCARE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	000000204952	OTHER	BLUE CROSS BLUE SHIELD
4	2557293	OTHER	AETNA

General Provider Information

NPI Number	:	1902809445
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RONALD KARL SETZKORN MD

Provider Business Mailing Address
First Line	:	6680 POE AVE STE 200
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45414-2855
Country	:	US
Telephone Number	:	937-280-8400
Fax Number	:	937-280-8373

Provider Business Practice Location Address
First Line	:	3130 N COUNTY ROAD 25A
Second Line	:
City	:	TROY
State	:	OH
Zip	:	45373-1337
Country	:	US
Telephone Number	:	937-293-1622
Fax Number	:	937-245-6308

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

Provider Enumeration Date	:	05/30/2005
Last Update Date	:	01/07/2022

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