Provider Demographics
NPI:1134103583
Name:HUNT, RONALD B (MD)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:B
Last Name:HUNT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:12851 GRAND RIVER RD
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:MI
Mailing Address - Zip Code:48116-8506
Mailing Address - Country:US
Mailing Address - Phone:810-227-1211
Mailing Address - Fax:810-220-5509
Practice Address - Street 1:44250 DEQUINDRE ROAD
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48314-1002
Practice Address - Country:US
Practice Address - Phone:248-964-0400
Practice Address - Fax:248-964-0401
Is Sole Proprietor?:No
Enumeration Date:2005-11-30
Last Update Date:2020-11-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301407125207Q00000X
MI4301047125207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI3140168Medicaid
MIF04659OtherHAP
MI010B56026OtherBLUE CHOICE
MI010B56026OtherBLUE CROSS BLUE SHIELD
MI3140168OtherHEALTH ADVANTAGE NETWORK
MI080252118OtherBLUE CROSS BLUE SHIELD
MI3140168OtherMCLAREN HEALTH PLAN
MI0135932820OtherHEALTH PLUS
MI3087409Medicaid
MI4294129OtherAETNA
MI9890827005OtherCIGNA
MI010B56026OtherCOMMUNITY BLUE PPO
MIC1523OtherMCARE
MI010B56026OtherBLUE CARE NETWORK
MIF04659OtherHEALTH NET FEDERAL SERVIC
MI080252118OtherBLUE CROSS BLUE SHIELD
MI4294129OtherAETNA