| Dr Ronald E Roup, MD | |
|
1881 Chicago St, Depere, WI 54115 | |
| (920) 403-8000 | |
| (920) 403-8204 |
| Full Name | Dr Ronald E Roup |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 1881 Chicago St, Depere, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215044573 | NPI | - | NPPES |
| 30459800 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 24751 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ronald E Roup, MD 3301 W Forest Home Ave, Milwaukee, WI 53215-2843 Ph: (414) 647-6326 | Dr Ronald E Roup, MD 1881 Chicago St, Depere, WI 54115 Ph: (920) 403-8000 |
Dr. Jennifer L Hoyer, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1881 Chicago St, Depere, WI 54115 Phone: 920-403-8000 Fax: 920-403-8204 | |
Dr. Indira P Andhole, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1881 Chicago St, Depere, WI 54115 Phone: 920-403-8000 Fax: 920-403-8204 |