Individual
DR. ARIEL PONCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4075 S CENTER RD, BURTON, MI 48519-1453
(810) 743-4120
Mailing address
4075 S CENTER RD, BURTON, MI 48519-1453
(810) 743-4120
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101016332
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4769600
—
MI
Enumeration date
06/25/2006
Last updated
09/05/2012
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