Individual
DR. RONALD BENJAMIN DALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4909 E OUTER DR, DETROIT, MI 48234-3446
(313) 369-3955
(313) 369-3933
Mailing address
7700 2ND AVE, DETROIT, MI 48202-2411
(313) 202-8660
(313) 202-8653
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301044503
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1888044
—
MI
Enumeration date
10/26/2006
Last updated
03/15/2012
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