Individual
RONALD BRIAN IRWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1080 HARRINGTON ST, SUITE 201, MT CLEMENS, MI 48043
(586) 493-7575
(586) 493-7576
Mailing address
1000 HARRINGTON ST, TED WAHBY CANCER CENTER SUITE 201, MOUNT CLEMENS, MI 48043-2920
(586) 493-7575
(586) 493-7576
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4301030763
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200F361660
BCBSM
MI
05
—
4994855
—
MI
Enumeration date
03/24/2006
Last updated
06/17/2008
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