Provider Demographics
NPI:1043551641
Name:GREENWALD, RONALD JOHN (DVM)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:JOHN
Last Name:GREENWALD
Suffix:
Gender:M
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6210 INDUSTRIAL CT
Mailing Address - Street 2:VETERINARY MEDICAL ASSOCIATES
Mailing Address - City:GREENDALE
Mailing Address - State:WI
Mailing Address - Zip Code:53129-2432
Mailing Address - Country:US
Mailing Address - Phone:414-421-1800
Mailing Address - Fax:414-421-2584
Practice Address - Street 1:6210 INDUSTRIAL CT
Practice Address - Street 2:VETERINARY MEDICAL ASSOCIATES
Practice Address - City:GREENDALE
Practice Address - State:WI
Practice Address - Zip Code:53129-2432
Practice Address - Country:US
Practice Address - Phone:414-421-1800
Practice Address - Fax:414-421-2584
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-06
Last Update Date:2013-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1926174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian