Individual
RONALD T ROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
11012 E 13 MILE RD, SUITE 201, WARREN, MI 48093-2572
(586) 582-0760
(586) 582-5729
Mailing address
29900 LORRAINE AVE, SUITE 400, WARREN, MI 48093-5266
(586) 582-0864
(586) 582-0964
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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