Renzema, Ronald Scott

Renzema, Ronald Scott is an individual health care provider with primary practice located at 3333 Evergreen Dr Ne , Grand Rapids MI 49525-9756. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Renzema, Ronald Scott can be contacted via phone (616) 364-4200.

Contact Information

Primary practice address
3333 Evergreen Dr Ne Grand Rapids MI 49525-9756
Phone: (616) 364-4200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 4301079402 Michigan

Profile Details

NPI number 1629048889
LBN Legal business name Renzema, Ronald Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Jul 3rd, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629048889 NPPES
Michigan MEDICAID 4387769

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