Individual
RONALD S LEDERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2300 HAGGERTY RD, SUITE 1110, WEST BLOOMFIELD, MI 48323-2184
(248) 669-2000
(248) 669-2110
Mailing address
PO BOX 74008434, CHICAGO, IL 60674-8434
(248) 669-2000
(248) 669-2110
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
RL064514
MI
207X00000X
Orthopaedic Surgery Physician
Primary
RL064514
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0F33953
BCBS
MI
01
—
129392
CARE CHOICES
—
01
—
203208200
WORK COMP
—
01
—
F72414
HAP
—
01
—
P00215896
MEDICARE RAILROAD
—
Enumeration date
01/12/2006
Last updated
07/19/2016
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