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Individual

RON MATTHEW ISRAEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
20010 FARMINGTON RD, LIVONIA, MI 48152-1408
(248) 471-7171
(248) 471-1212
Mailing address
20010 FARMINGTON RD, LIVONIA, MI 48152-1408

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
5101028558
MI
2084P0800X
Psychiatry Physician
OS20781
FL

Other

Enumeration date
03/27/2020
Last updated
07/16/2025
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