Individual
RON L. SLOAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
326 N SAWYER RD, KENDALLVILLE, IN 46755-2573
(260) 349-9166
(260) 349-9175
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01032202A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000000915
MPLAN
—
01
—
000000091882
BLUE CROSS BLUE SHIELD
—
01
—
080122024
RAILROAD MEDICARE
IN
05
—
100190910
—
IN
01
—
1861
PHYSICIANS HEALTH PLAN
—
01
—
ANTHEM
000000668835
IN
Enumeration date
11/07/2005
Last updated
10/20/2022
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