Wilson, Ronald Eugene

Wilson, Ronald Eugene is an sole proprietor health care provider with primary practice located at 18460 Revere St , Detroit MI 48234-1726. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Wilson, Ronald Eugene can be contacted via phone (313) 865-4400.

Contact Information

Primary practice address
18460 Revere St Detroit MI 48234-1726
Phone: (313) 865-4400
Fax: (313) 865-4400
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 59-010-01377 Michigan

Profile Details

NPI number 1881802288
LBN Legal business name Wilson, Ronald Eugene
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 18th, 2007
Last updated Feb 26th, 2010 - about 14 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 1881802288 NPPES
Michigan MEDICAID 131753526
Michigan Other 4858211610

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