Individual
DR. CAREY BERNARD RANSONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8865 W 400 N STE 105, MICHIGAN CITY, IN 46360-9223
(219) 861-8740
(219) 877-1029
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
01045023
IN
208800000X
Urology Physician
Primary
01045023A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200091080
—
IN
Enumeration date
04/11/2007
Last updated
08/24/2023
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