Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 4301036412 | MI |
Y | 207VG0400X | Gynecologist | RC036412 | MI |
NPI | 1013957927 |
---|---|
Provider Name | Ronald Cheek |
First Address | Detroit, MI 48235-2626 |
Second Address | Detroit, MI 48235-2626 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2006 |
Last Update Date | 17/07/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
104536395 | (05) | MI |
B43148 | (02) |