Individual
RONALD GARETT SHOOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
926 WASHINGTON AVE, BLDG C, HOLLAND, MI 49423
(616) 393-0166
Mailing address
926 WASHINGTON AVE, BLDG C, HOLLAND, MI 49423
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
5101015954
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
381360529
TAX ID
MI
Enumeration date
04/13/2007
Last updated
07/10/2023
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