Individual
RONALD M JUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1900 COLUMBUS AVE, BAY CITY, MI 48708-6831
(989) 894-3820
(989) 891-0497
Mailing address
PO BOX 116, BAY CITY, MI 48707-0116
(989) 894-3820
(989) 891-0497
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704097573
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4308754130
BCBS
MI
05
—
4851665
—
MI
Enumeration date
01/31/2007
Last updated
06/03/2010
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