Individual
DR. RONDA BARAK-NORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
32255 NORTHWESTERN HWY STE 130C, FARMINGTON HILLS, MI 48334-1566
(248) 419-3538
(248) 419-3537
Mailing address
29992 NORTHWESTERN HWY STE C, FARMINGTON HILLS, MI 48334-3292
(248) 851-1430
(248) 851-5182
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
4301053101
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851372304
—
MI
01
—
MI4989620
MEDICARE PTAN
MI
Enumeration date
11/10/2005
Last updated
03/29/2019
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