Individual
DR. EUGENE RONTAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
33533 W 12 MILE RD STE 190, FARMINGTON HILLS, MI 48331-5636
(248) 865-3327
(248) 737-0636
Mailing address
33533 W 12 MILE RD STE 190, FARMINGTON HILLS, MI 48331-5636
(248) 865-3327
(248) 737-0636
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
4301028146
MI
237600000X
Audiologist-Hearing Aid Fitter
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2650004
—
MI
01
—
CI0239
RAILROAD MEDICARE
MI
Enumeration date
04/13/2006
Last updated
06/21/2022
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