MEDICARE: DR. RONALD B HUNT M.D.

Medicare Provider Information

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	4301407125	MI
2	207Q00000X	Family Medicine Physician	4301047125	MI

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	F04659	OTHER	MI	HAP
3	010B56026	OTHER	MI	BLUE CHOICE
4	010B56026	OTHER	MI	BLUE CROSS BLUE SHIELD
5	3140168	OTHER	MI	HEALTH ADVANTAGE NETWORK
6	080252118	OTHER	MI	BLUE CROSS BLUE SHIELD
7	3140168	OTHER	MI	MCLAREN HEALTH PLAN
8	0135932820	OTHER	MI	HEALTH PLUS
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	4294129	OTHER	MI	AETNA
11	9890827005	OTHER	MI	CIGNA
12	010B56026	OTHER	MI	COMMUNITY BLUE PPO
13	C1523	OTHER	MI	MCARE
14	010B56026	OTHER	MI	BLUE CARE NETWORK
15	F04659	OTHER	MI	HEALTH NET FEDERAL SERVIC

NPI Number	:	1134103583
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RONALD B HUNT M.D.

Provider Business Mailing Address
First Line	:	12851 GRAND RIVER RD
Second Line	:
City	:	BRIGHTON
State	:	MI
Zip	:	48116-8506
Country	:	US
Telephone Number	:	810-227-1211
Fax Number	:	810-220-5509

Provider Business Practice Location Address
First Line	:	44250 DEQUINDRE ROAD
Second Line	:
City	:	STERLING HEIGHTS
State	:	MI
Zip	:	48314-1002
Country	:	US
Telephone Number	:	248-964-0400
Fax Number	:	248-964-0401

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/30/2005
Last Update Date	:	11/10/2020