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Individual

RONALD K CRISS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM, PC

Contact information

Practice address
2255 CRAIN HWY, SUITE #102, WALDORF, MD 20601-3186
(301) 645-6600
(301) 645-6601
Mailing address
2255 CRAIN HWY, SUITE #102, WALDORF, MD 20601-3186
(301) 645-6600
(301) 645-6601

Taxonomy

Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
00596
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
266248500
MD
Enumeration date
02/26/2007
Last updated
08/27/2012
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