MEDICARE: DR. RONALD J STEWART D.O.

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	RS005546	MI

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	:	1801889654
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RONALD J STEWART D.O.

Provider Business Mailing Address
First Line	:	293 PINE RIDGE DR
Second Line	:
City	:	BLOOMFIELD HILLS
State	:	MI
Zip	:	48304-2138
Country	:	US
Telephone Number	:	248-540-4142
Fax Number	:	248-540-4186

Provider Business Practice Location Address
First Line	:	42370 VAN DYKE AVE
Second Line	:	STE#100
City	:	STERLING HEIGHTS
State	:	MI
Zip	:	48314-3487
Country	:	US
Telephone Number	:	586-254-1177
Fax Number	:	586-254-5973

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/26/2005
Last Update Date	:	05/05/2008

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Practice Fax:

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