Provider Demographics
NPI:1205812856
Name:RANESES, RAMON CASTRO (MD)
Entity Type:Individual
Prefix:DR
First Name:RAMON
Middle Name:CASTRO
Last Name:RANESES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3399 POLLOCK RD
Mailing Address - Street 2:
Mailing Address - City:GRAND BLANC
Mailing Address - State:MI
Mailing Address - Zip Code:48439-8395
Mailing Address - Country:US
Mailing Address - Phone:810-603-0170
Mailing Address - Fax:810-603-2370
Practice Address - Street 1:3399 POLLOCK RD
Practice Address - Street 2:
Practice Address - City:GRAND BLANC
Practice Address - State:MI
Practice Address - Zip Code:48439-8395
Practice Address - Country:US
Practice Address - Phone:810-603-0170
Practice Address - Fax:810-603-2370
Is Sole Proprietor?:No
Enumeration Date:2005-12-15
Last Update Date:2016-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301054276207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI3369891Medicaid
MI4077621Medicaid
MI0C97618OtherBCBSM
MIC97618146Medicare PIN
MIG07177Medicare UPIN
MI0M34870031Medicare PIN