Individual
RONALD VIERK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 REID PKWY, SURGERY/ANESTHESIA DEPARTMENT, RICHMOND, IN 47374-1157
(765) 935-8747
(765) 983-3008
Mailing address
1100 REID PKWY, MEDICAL STAFF SERVICES, RICHMOND, IN 47374-1157
(765) 935-8747
(765) 983-3008
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01031317
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000754277
ANTHEM
IN
05
—
0721099
—
OH
05
—
100134920
—
IN
Enumeration date
07/08/2005
Last updated
08/15/2014
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