Healthcare Provider Details
I. General information
NPI: 1467455543
Provider Name (Legal Business Name): MICHAEL E RING MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/23/2005
Last Update Date: 04/12/2023
Certification Date: 04/12/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
122 W 7TH AVE SUITE 450
SPOKANE WA
99204-2349
US
IV. Provider business mailing address
PO BOX 331
LIBERTY LAKE WA
99019-0331
US
V. Phone/Fax
- Phone: 509-455-8820
- Fax: 509-838-4978
- Phone: 866-747-2455
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RC0000X |
| Taxonomy | Cardiovascular Disease Physician |
| License Number | 27395 |
| License Number State | WA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RI0011X |
| Taxonomy | Interventional Cardiology Physician |
| License Number | MED-PHYS-LIC-124695 |
| License Number State | MT |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RI0011X |
| Taxonomy | Interventional Cardiology Physician |
| License Number | MD00027395 |
| License Number State | WA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: