Provider Demographics
NPI:1568713584
Name:ROOK, A. RONALD (DO)
Entity Type:Individual
Prefix:DR
First Name:A.
Middle Name:RONALD
Last Name:ROOK
Suffix:
Gender:M
Credentials:DO
Other - Prefix:DR
Other - First Name:ADOLPH
Other - Middle Name:RONALD
Other - Last Name:ROOK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO
Mailing Address - Street 1:2660 FAIRWAY CT
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MI
Mailing Address - Zip Code:48306-4953
Mailing Address - Country:US
Mailing Address - Phone:248-601-0515
Mailing Address - Fax:
Practice Address - Street 1:2660 FAIRWAY CT
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MI
Practice Address - Zip Code:48306-4953
Practice Address - Country:US
Practice Address - Phone:248-601-0515
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-01
Last Update Date:2012-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101005980207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery