Ronaldo San Juan MD

NPI 1629172317 - General Practice - 208D00000X

NPI Details
NPI 1629172317
Gender Male
Enumeration Date 09/12/2006
Last Updated 08/28/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
500 KIRTS BLVD
TROY MI, 48084-4134, US
Phone (248) 824-6299
Fax (248) 479-0525
Business Location
PO BOX 1239
TROY MI, 48099-1239, US
Phone (248) 824-6600
Fax (248) 324-1477
Toxanomy
Taxonomy Code 208D00000X
License State Michigan
License Number 4301031888
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According to our database, Ronaldo San Juan MD NPI is 1629172317, taxonomy code is 208D00000X and license number is 4301031888, license state is located at Michigan. Ronaldo San Juan MD physically located at 500 Kirts Blvd, Troy MI, 48084-4134. NPI Number Ronaldo San Juan MD has the Individual type.

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1629172317 NPI number is provided on an as is basis without warranty of any kind. 1629172317 is maintained by the National Plan & Provider Enumeration System. The contents of Ronaldo San Juan MD are for informational purposes only.