Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 170100000X | Medical Geneticist | 6301000861 | MI |
NPI | 1023223476 |
---|---|
Provider Name | Ronald Rice |
First Address | Farmington Hills, MI 48334-1980 |
Second Address | Farmington Hills, MI 48334-1980 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2007 |
Last Update Date | 08/07/2007 |