Healthcare Provider Details

I. General information

NPI: 1801889654
Provider Name (Legal Business Name): RONALD J STEWART D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/26/2005
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

43494 WOODWARD AVE STE 100
BLOOMFIELD HILLS MI
48302-5052
US

IV. Provider business mailing address

1428 S LAPEER RD
LAKE ORION MI
48360-1437
US

V. Phone/Fax

Practice location:
  • Phone: 248-218-0601
  • Fax: 248-693-3683
Mailing address:
  • Phone: 248-693-0543
  • Fax: 248-693-3683

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberRS005546
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: