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Individual

ROBERT J RONIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-2400
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35-047967
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000224321
UNISON
OH
01
000000532983
ANTHEM
OH
05
0632300
OH
01
260028479
RAILROAD MEDICARE
OH
01
363963
WELLCARE MEDICAID
OH
01
5090454
AETNA
OH
Enumeration date
07/15/2006
Last updated
12/02/2020
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