Individual
DR. RONALD FOGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30795 23 MILE RD, SUITE 206, CHESTERFIELD, MI 48047-5720
(586) 598-5731
(586) 948-1530
Mailing address
30795 23 MILE RD, SUITE 206, CHESTERFIELD, MI 48047-5720
(586) 598-5731
(586) 948-1530
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
4301056430
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4630510
—
MI
Enumeration date
12/29/2005
Last updated
10/22/2013
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