Individual
RONALD MACK BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
239 N STATE RD STE 102, OWOSSO, MI 48867-9075
(989) 720-5400
(989) 725-7802
Mailing address
239 N STATE RD STE 102, OWOSSO, MI 48867-9075
(989) 720-5400
(989) 725-7802
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
5101010813
MI
207P00000X
Emergency Medicine Physician
Primary
5101010813
MI
Other
Enumeration date
01/23/2007
Last updated
08/08/2023
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