Organization
KINGSWOOD URGENT MEDICAL CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD S CIRONE D.O. (MEDICAL DIRECTOR)
(248) 334-6850
Entity
Organization
Contact information
Practice address
43141 WOODWARD AVE, BLOOMFIELD HILLS, MI 48302-5005
(248) 334-6850
Mailing address
43141 WOODWARD AVE, BLOOMFIELD HILLS, MI 48302-5005
(248) 334-6850
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080F37249
BLUE CROSS
—
Enumeration date
10/04/2006
Last updated
11/30/2010
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