DR. Ron E Creque JR., MD

NPI #1194717397 in Shelbyville, Kentucky

Provider Information

NPI Number: 1194717397
Entity Type: Individual
Name: DR. Ron E Creque JR., MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Aug 16, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 101 STONECREST ROAD
Address 2: SUITE 3
City: Shelbyville
State: Kentucky
ZIP Code: 40065
Phone: (502) 633-5565

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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