Provider Demographics
NPI:1093202160
Name:ROSPIERSKI, RONALD STEVEN
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:STEVEN
Last Name:ROSPIERSKI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51651 DEBORAH CIR
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48047-3059
Mailing Address - Country:US
Mailing Address - Phone:586-306-1368
Mailing Address - Fax:
Practice Address - Street 1:51651 DEBORAH CIR
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:MI
Practice Address - Zip Code:48047-3059
Practice Address - Country:US
Practice Address - Phone:586-306-1368
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-15
Last Update Date:2018-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist