Individual
DR. RONALD J RASANSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
27301 DEQUINDRE RD, SUITE 314, MADISON HEIGHTS, MI 48071-3473
(248) 399-4400
(248) 399-4840
Mailing address
27301 DEQUINDRE RD, SUITE 314, MADISON HEIGHTS, MI 48071-3473
(248) 399-4400
(248) 399-4840
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
5101006638
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447234539
—
MI
01
—
700002488
RR MEDICARE
MI
01
—
700H217350
BLUE SHIELD
MI
01
—
C7017
C7017
MI
Enumeration date
12/01/2005
Last updated
02/16/2011
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