Individual
DR. RONALD JASON POPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
28050 GRAND RIVER AVE, FARMINGTON HILLS, MI 48336-5919
(248) 471-8000
Mailing address
5841 DAUGHTRIDGE RD, ROCKY MOUNT, NC 27803-8471
(216) 849-0992
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
5101017071
MI
208600000X
Surgery Physician
Primary
82086
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NC3123
—
SC
01
—
SCK3377628
MEDICARE PIN
SC
Enumeration date
06/06/2007
Last updated
07/14/2021
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