Individual
DR. MICHAEL RONTAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30701 WOODWARD AVE STE 200, ROYAL OAK, MI 48073-0990
(248) 737-4030
(248) 307-7873
Mailing address
30701 WOODWARD AVE STE 200, ROYAL OAK, MI 48073-0990
(248) 737-4030
(248) 307-7873
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
4301027047
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2650022
—
MI
01
—
CI0239
RAILROAD MEDICARE
MI
Enumeration date
04/13/2006
Last updated
02/03/2021
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