MEDICARE: RONALD J STEWART DO PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538330501
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RONALD J STEWART DO PC

Provider Business Mailing Address
First Line	:	42370 VAN DYKE
Second Line	:	SUITE 100
City	:	STERLING HGTS
State	:	MI
Zip	:	48031
Country	:	US
Telephone Number	:	586-254-1177
Fax Number	:

Provider Business Practice Location Address
First Line	:	42370 VAN DYKE AVE
Second Line	:	STE 100
City	:	STERLING HTS
State	:	MI
Zip	:	48314-3487
Country	:	US
Telephone Number	:	586-254-1177
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. RONALD JEROME STEWART
Credential	:	DO
Telephone Number	:	586-254-1177

Provider Enumeration Date	:	03/18/2008
Last Update Date	:	03/18/2008

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