Individual
RONALD E BERESKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
225 CHURCH ST, DEAN MEDICAL CENTER, STOUGHTON, WI 53589-1801
(608) 877-2700
(608) 877-2726
Mailing address
225 CHURCH ST, DEAN MEDICAL CENTER, STOUGHTON, WI 53589-1801
(608) 877-2700
(608) 877-2726
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
30185-020
WI
208600000X
Surgery Physician
MD60287580
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1760
DEAN HEALTH INSURANCE
WI
05
—
31494700
—
WI
Enumeration date
06/15/2006
Last updated
02/25/2014
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