Individual
RONALD MAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
22500 METRO PKWY STE 403, CLINTON TWP, MI 48035-1943
(586) 741-4142
Mailing address
22500 METRO PKWY STE 403, CLINTON TWP, MI 48035-1943
(586) 741-4142
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704310170
MI
Other
Enumeration date
09/05/2019
Last updated
09/05/2019
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