Individual
DR. RONALD A HACKELMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
634 CHENE STREET, DETROIT, MI 48207
(313) 259-2210
(248) 488-1048
Mailing address
29264 LAUREL DR, FARMINGTON HILLS, MI 48331
(248) 488-1959
(248) 488-1048
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
001370
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1773251
—
MI
Enumeration date
08/20/2006
Last updated
03/01/2010
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