Individual
RONALD T ROOK
Active
Individual
RONALD T ROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
5101012705
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4528910
—
MI
01
—
RR012705
BCBS PIN #
MI
Enumeration date
08/17/2005
Last updated
10/25/2022
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