Dr. Ronan H. Smyth MD
Diagnostic Radiology Physician in Green Bay, WI(View on Map)
Full Name
Dr. Ronan H Smyth MD
NPI Number
1578619979
NPI Type
Individual Provider
Gender
Male
Enumeration Date
01/26/2007
Specialties
(Taxonomies)Code
2085R0202X
2085R0204X
Primary Taxonomy
Yes
No
Licenses
State
Wisconsin
License Number
34713
Contact
Information
Purpose
Mailing
Location
Address
2941 S RIDGE RD
2941 S RIDGE RD
City
Green Bay
Green Bay
State
WI
WI
Postal Code
54304-5517
54304-5517
Country
US
US
Telephone Number
(920) 336-4096
(920) 336-4096
Identifiers
Identifier
31944400
Identifier State
WI
Identifier Issuer
Unknown
Health Information Exchange
Endpoint Type
DIRECT
Endpoint
rsmyth4203@ewd.direct.hshs.org
Endpoint Description
Unknown
Use
Direct
Content Type
Other
Other Description:CDA/CCD/TXT
Affiliation
N
Endpoint Location
2941 S Ridge RdGreen Bay, WI543045517US
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 12/26/2021
Provider Address
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