Individual
JAMES MICHAEL RIDGEWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4201 SAINT ANTOINE ST, DETROIT, MI 48201-2153
(313) 745-5147
Mailing address
14033 SAINT MARYS ST, DETROIT, MI 48227-4912
(773) 852-7079
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
5101027865
MI
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/06/2021
Last updated
08/05/2025
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