Individual
DR. RONALD WAYNE SHRECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
407 E CHEROKEE AVE, ENID, OK 73701-5814
(580) 242-7020
(580) 233-1617
Mailing address
407 E CHEROKEE AVE, ENID, OK 73701-5814
(580) 242-7020
(580) 233-1617
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
11370
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100129380A
—
OK
Enumeration date
08/22/2006
Last updated
03/12/2010
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