Individual
RONALD LEE WARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
75 SHELDON AVE SE STE 100, GRAND RAPIDS, MI 49503-4224
(616) 391-6120
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704260161
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704260161
MI
Other
Enumeration date
06/25/2013
Last updated
10/30/2023
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