Individual
DR. RONALD EDWARD IZYNSKI I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2501 VALLEY DR, VALPARAISO, IN 46383-2518
(221) 992-1144
(219) 921-5303
Mailing address
601 GATEWAY BLVD N, CHESTERTON, IN 46304-9658
(219) 921-1444
(219) 921-5303
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
07000499A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000085473
ANTHEM
IN
05
—
100208280A
—
IN
Enumeration date
01/31/2007
Last updated
03/19/2021
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