Individual
DR. RONALD WILLIAM POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
410 LINCOLN WAY W, SUITE 102, OSCEOLA, IN 46561-2638
(574) 674-5100
(574) 674-5192
Mailing address
410 LINCOLN WAY W, SUITE 102, OSCEOLA, IN 46561-2638
(574) 674-5100
(574) 674-5192
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01034168
IN
Other
Enumeration date
07/21/2005
Last updated
07/08/2007
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