Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 4301039251 | MI |
Y | 208600000X | Surgeon | 4301039251 | MI |
NPI | 1003810425 |
---|---|
Provider Name | Mr. Steven Loren Ringler |
First Address | Grand Rapids, MI 49503-2210 |
Second Address | Grand Rapids, MI 49503-2210 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1800573 | (05) | MI |
B43457 | (02) | MI |