Provider Demographics
NPI:1417971706
Name:RESCHLY, RONALD R (MD)
Entity Type:Individual
Prefix:MR
First Name:RONALD
Middle Name:R
Last Name:RESCHLY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1450 EASTSIDE RD STE 110
Mailing Address - Street 2:
Mailing Address - City:PLATTEVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:53818-9800
Mailing Address - Country:US
Mailing Address - Phone:608-348-4330
Mailing Address - Fax:608-342-4801
Practice Address - Street 1:1450 EASTSIDE RD STE 110
Practice Address - Street 2:
Practice Address - City:PLATTEVILLE
Practice Address - State:WI
Practice Address - Zip Code:53818-9800
Practice Address - Country:US
Practice Address - Phone:608-348-4330
Practice Address - Fax:608-342-4801
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2010-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA24874207X00000X
WI52466-20207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA42146637603OtherRIVERVALLEYUCH
IA1227397Medicaid
WI1417971706Medicaid
IA41684OtherBCBS OF IOWA
IA42146637601OtherRIVERVALLEYUHC
WI60879OtherDEAN HEALTH INSURANCE
WI1417971706Medicaid
IA1227397Medicaid
WI571550133Medicare PIN