Individual
MR. RONALD FLOYD POUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1470 PECK ST, MUSKEGON, MI 49441-2158
(231) 724-3300
(231) 724-3348
Mailing address
228 ELM ST, FRUITPORT, MI 49415-8850
(231) 865-1390
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
4704202798
MI
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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