Individual
RONALD T SCHREIBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2600 S HERITAGE WOODS DR, APPLETON, WI 54915-1408
(920) 225-7875
(920) 993-5003
Mailing address
PO BOX 8003, APPLETON, WI 54912-8003
(920) 996-3200
(920) 738-5787
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
30497
WI
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
30497
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31756200
—
WI
01
—
450030769
MEDICARE PTAN
WI
01
—
690100071
MEDICARE PTAN
WI
01
—
711290166
MEDICARE PTAN
WI
Enumeration date
09/06/2005
Last updated
02/20/2013
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