Organization
RONALD A RONQUIST MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD A RONQUIST MD (OWNER)
(231) 439-8014
Entity
Organization
Contact information
Practice address
4048 CEDAR BLUFF DR, STE 1, PETOSKEY, MI 49770
(231) 439-8017
(231) 347-6128
Mailing address
4048 CEDAR BLUFF DR, STE 1, PETOSKEY, MI 49770-8895
(231) 439-8017
(231) 347-6128
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4301051494
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3257240
—
MI
Enumeration date
09/24/2009
Last updated
09/24/2009
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