Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 5901002309 | MI |
Y | 222Z00000X | Podiatrist | 5901002309 | MI |
NPI | 1043447139 |
---|---|
Provider Name | Dr. Danielle Nicole Ronyak |
First Address | Saint Clair Shores, MI 48081-1923 |
Second Address | Saint Clair Shores, MI 48081-1923 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2009 |
Last Update Date | 24/08/2011 |