Individual
DR. RONALD DENNIS STANIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
608 165TH ST, HAMMOND, IN 46324-1311
(219) 933-0631
(219) 933-0631
Mailing address
608 165TH ST, HAMMOND, IN 46324-1311
(219) 933-0631
(219) 933-0631
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1571
IN
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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