# MICHAEL CHARLES RONDEAU

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1912443839
- **Gender:** Man
- **Credential:** N.P.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 4704246718 | MI | — |
| 363LA2100X | Acute Care Nurse Practitioner | 4704246718 | MI | — |
| 363LA2200X | Adult Health Nurse Practitioner | 4704246718 | MI | — |
| 363LG0600X | Gerontology Nurse Practitioner | 4704246718 | MI | Yes |

## Other

- **Enumeration date:** 01/17/2017
- **Last updated:** 02/08/2021