Provider Demographics
NPI:1942289574
Name:MCGILL, RONALD MICHAEL JR
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:MICHAEL
Last Name:MCGILL
Suffix:JR
Gender:M
Credentials:
Other - Prefix:DR
Other - First Name:MIKE
Other - Middle Name:
Other - Last Name:MCGILL
Other - Suffix:JR
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1500 DELHI ST
Mailing Address - Street 2:SUITE 3500
Mailing Address - City:DUBUQUE
Mailing Address - State:IA
Mailing Address - Zip Code:52001-6321
Mailing Address - Country:US
Mailing Address - Phone:563-557-5911
Mailing Address - Fax:563-557-5910
Practice Address - Street 1:1500 DELHI ST
Practice Address - Street 2:SUITE 3500
Practice Address - City:DUBUQUE
Practice Address - State:IA
Practice Address - Zip Code:52001-6358
Practice Address - Country:US
Practice Address - Phone:563-557-5911
Practice Address - Fax:563-557-5910
Is Sole Proprietor?:No
Enumeration Date:2006-01-12
Last Update Date:2016-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA24743208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA10551OtherMIDLAND'S CHOICE
IA0033423Medicaid
IA67153OtherHAWK-I
IA11351OtherDEAN HEALTH PLAN
IA23314OtherWELLMARK BCBS OF IOWA
IAIA0109OtherJOHN DEERE HEALTH PLAN
IA0033423Medicaid