Beresky, Ronald E

Beresky, Ronald E is an individual health care provider with primary practice located at 225 Church St Dean Medical Center, Stoughton WI 53589-1801. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Beresky, Ronald E can be contacted via phone (608) 877-2700.

Contact Information

Primary practice address
225 Church St Dean Medical Center Stoughton WI 53589-1801
Phone: (608) 877-2700
Fax: (608) 877-2726
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 30185-020 Wisconsin
Allopathic & Osteopathic Physicians / Surgery 208600000X MD60287580 Washington

Profile Details

NPI number 1417991084
LBN Legal business name Beresky, Ronald E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Feb 25th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417991084 NPPES
Wisconsin MEDICAID 31494700
Wisconsin Other 1760

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