Individual
DR. RONALD YENDREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
150 E MARKET ST, WARREN, OH 44481-1141
(330) 394-6244
(330) 394-6029
Mailing address
150 E MARKET ST, WARREN, OH 44481-1141
(330) 395-6244
(330) 394-6029
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
34-00-5024-4
OH
2084P0802X
Addiction Psychiatry Physician
34-00-5024-4
OH
2084P0804X
Child & Adolescent Psychiatry Physician
34-00-5024-4
OH
2084P0805X
Geriatric Psychiatry Physician
34-00-5024-4
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0637289
—
OH
Enumeration date
06/12/2006
Last updated
12/08/2011
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