Individual
RONALD PHILIP DALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1300 W ICE LAKE RD, IRON RIVER, MI 49935-8507
(906) 265-8189
Mailing address
1400 W ICE LAKE RD, IRON RIVER, MI 49935-9526
(906) 265-6121
(906) 265-4245
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
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