Ronald Arthur Backus, MD

NPI #1376829135 in Florence, Wisconsin

Provider Information

NPI Number: 1376829135
Entity Type: Individual
Name: Ronald Arthur Backus, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: General Practice
Credential: MD
Enumeration Date: Oct 25, 2011
Last Updated: Oct 25, 2011

Practice Location

Address: 4185 W LAKE ELWOOD RD
City: Florence
State: Wisconsin
ZIP Code: 54121-9158
Phone: (715) 696-6416

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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