Individual
RONALD PHILIP DALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301071649
MI
208000000X
Pediatrics Physician
036-173810
IL
208000000X
Pediatrics Physician
Primary
13202-320
WI
208000000X
Pediatrics Physician
4301071649
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34010000
EDS
WI
05
—
3461280
—
MI
01
—
700C61000
BCBS, MEDICARE PLUS BLUE
—
05
—
81820700
—
WI
01
—
RD071649
BCBS OF MI
MI
Enumeration date
06/16/2005
Last updated
04/09/2025
Update your record
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