Individual
RONALD CHARLES JETTIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
30405 W 12 MILE RD, FARMINGTON HILLS, MI 48334
(248) 477-5255
(248) 474-4383
Mailing address
30405 W 12 MILE RD, FARMINGTON HILLS, MI 48334
(248) 477-5255
(248) 474-4383
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301004377
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OF35161
BCBS
MI
Enumeration date
09/22/2006
Last updated
09/19/2012
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