Healthcare Provider Details

I. General information

NPI: 1689484982
Provider Name (Legal Business Name): JULIA Q RING PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/09/2025
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1722 SHAFFER ST STE 1
KALAMAZOO MI
49048-1633
US

IV. Provider business mailing address

3245 HEALTH DR STE 100
GRANGER IN
46530-1380
US

V. Phone/Fax

Practice location:
  • Phone: 269-381-3963
  • Fax: 269-381-2809
Mailing address:
  • Phone: 269-552-2823
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number5601013836
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: