Individual
MR. RONALD J. MANNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.R.N.A.
Contact information
Practice address
2799 W GRAND BLVD, DEPARTMENT OF ANESTHESIOLOGY, DETROIT, MI 48202-2608
(313) 916-7648
Mailing address
2799 W GRAND BLVD, DEPARTMENT OF ANESTHESIOLOGY, DETROIT, MI 48202-2608
(313) 916-7648
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704154765
MI
Other
Enumeration date
11/13/2006
Last updated
07/08/2007
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