Provider Demographics
NPI:1396756771
Name:SCHALTER, RONALD WILLIAM (DO)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:WILLIAM
Last Name:SCHALTER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3033 MADISON LAKE CT
Mailing Address - Street 2:
Mailing Address - City:ADRIAN
Mailing Address - State:MI
Mailing Address - Zip Code:49221-4100
Mailing Address - Country:US
Mailing Address - Phone:517-448-7130
Mailing Address - Fax:517-448-7198
Practice Address - Street 1:808 N MAPLE GROVE AVE
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:MI
Practice Address - Zip Code:49247-9767
Practice Address - Country:US
Practice Address - Phone:517-448-7130
Practice Address - Fax:517-448-7198
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI13200122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist