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General NPI Number Information
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NPI Number | 1871648212
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Entity Type | Organization
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Legal Business Name | RONALD LEE MEYERS, D.O.
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 30050 HOOVER RD SUITE A
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City | WARREN
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State | MI
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Zip | 48093-2544
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Country | US
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Telephone | 586-754-4700
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Fax | 586-757-8909
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Provider Business Mailing Address
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Address Line | 55 E LONG LAKE RD PMB #104
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City | TROY
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State | MI
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Zip | 48085-4738
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. RONALD LEE MEYERS
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Credential | D.O.
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Telephone | 586-754-4700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | M15101 007089
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License Number State | MI
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