Individual
RONALD MICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3725 CHAMPION HILLS DR STE 2400, MEMPHIS, TN 38125-8000
(901) 367-9001
(901) 565-8787
Mailing address
1211 UNION AVE STE 330, MEMPHIS, TN 38104-6655
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
21690
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00121961
—
MS
01
—
4308326
BCBS
TN
01
—
P01003586
RAILROAD MEDICARE
TN
05
—
Q007334
—
TN
Enumeration date
06/28/2006
Last updated
04/29/2024
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