Healthcare Provider Details

I. General information

NPI: 1235121989
Provider Name (Legal Business Name): WILLIAM RATIGAN RANGER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2005
Last Update Date: 01/31/2023
Certification Date: 01/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1815 HENSON AVE
KALAMAZOO MI
49048
US

IV. Provider business mailing address

1815 HENSON AVE
KALAMAZOO MI
49048-1510
US

V. Phone/Fax

Practice location:
  • Phone: 269-492-6500
  • Fax: 269-492-6461
Mailing address:
  • Phone: 269-492-6500
  • Fax: 269-492-6461

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberWR05847
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number4301058472
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: