Individual
DR. RONALD STANLEY LISIECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
900 MAIN ST, BROWNSVILLE, WI 53006-0187
(920) 583-1300
Mailing address
420 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 583-1300
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
70342
WI
Other
Enumeration date
08/08/2010
Last updated
11/23/2020
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