Individual
DR. MADONNA SUE RINGSWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1025 NEW MOODY LN, LA GRANGE, KY 40031-9154
(502) 222-1545
(502) 222-1679
Mailing address
PO BOX 950248, LOUISVILLE, KY 40295-0248
(502) 489-5730
(502) 489-5753
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
02114
KY
208M00000X
Hospitalist Physician
Primary
02114
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000051255
ANTHEM
KY
01
—
1061235
PASSPORT
KY
01
—
243204000
PASSPORT ADVANTAGE
KY
05
—
64021140
—
KY
Enumeration date
10/18/2006
Last updated
12/08/2020
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