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Ronald Arthur Backus, MD
General Practice Physician in Florence, Wisconsin
NPI 1376829135

Ronald Arthur Backus is a General Practice Physician based in Florence, WI. Ronald Arthur Backus practices in Florence, WI and has the professional credentials of MD. The NPI Number for Ronald Arthur Backus is 1376829135 and holds a License No. 4301028031 (Wisconsin).

The current practice location address for Ronald Arthur Backus is 4185 W Lake Elwood Rd, Florence, WI and can be reached out via phone at 715-696-6416.

Location: 4185 W Lake Elwood Rd, Florence, WI, 54121-9158
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376829135
Provider Name
Ronald Arthur Backus
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4185 W Lake Elwood Rd, Florence, WI, 54121-9158
Phone Number
715-696-6416
Fax Number
Provider Enumeration Date
10/25/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4185 W Lake Elwood Rd
City
Florence
State
Wisconsin
Zip
54121-9158
Phone Number
715-696-6416
Fax Number
person
Provider Business Mailing Address Details
Address
4185 W Lake Elwood Rd
City
Florence
State
Wisconsin
Zip
54121-9158
Phone Number
715-696-6416
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
4301028031 (Michigan)
Definition
Definition to come...
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