Individual
RONALD MICHAELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
23400 MICHIGAN AVE, STE 1125, DEARBORN, MI 48124-1924
(313) 565-9118
Mailing address
23400 MICHIGAN AVE, STE 1125, DEARBORN, MI 48124-1924
(313) 565-9118
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
9366
MI
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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