Individual
RON W WAECKERLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2301 HOUSE AVE STE 108, CHEYENNE, WY 82001-3177
(307) 634-9238
(307) 778-3665
Mailing address
2301 HOUSE AVE STE 108, CHEYENNE, WY 82001-3177
(307) 634-9238
(307) 778-3665
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
Primary
E12250
WY
Other
Enumeration date
06/21/2006
Last updated
07/08/2007
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