Provider Demographics
NPI:1558444257
Name:MAIO, RONALD F (DO)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:F
Last Name:MAIO
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:3621 S STATE ST
Mailing Address - Street 2:700 KMS PLACE
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48108
Mailing Address - Country:US
Mailing Address - Phone:734-936-2047
Mailing Address - Fax:
Practice Address - Street 1:1500 E MEDICAL CENTER DR
Practice Address - Street 2:B1 FLOOR TAUBMAN CENTER RECP EMOS
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48109-5317
Practice Address - Country:US
Practice Address - Phone:734-232-2867
Practice Address - Fax:734-232-2800
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2013-04-03
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Provider Licenses
StateLicense IDTaxonomies
MI5101007175207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1961627Medicaid
MI0H16032043Medicare ID - Type Unspecified
MIB46158Medicare UPIN