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Individual

MR. RONALD GAINES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
15700 W 10 MILE RD, SUITE 216, SOUTHFIELD, MI 48075-2149
(248) 797-0356
Mailing address
39555 ORCHARD HILL PLACE, SUITE 600, PMB 6309, NOVI, MI 48331-2149

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary

Other

Enumeration date
01/27/2016
Last updated
10/16/2018
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