Provider Demographics
NPI:1891817839
Name:MICHALSKI, RONALD MARK (DC)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:MARK
Last Name:MICHALSKI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3500 S BRISTOL ST
Mailing Address - Street 2:STE 205
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92704
Mailing Address - Country:US
Mailing Address - Phone:714-444-4044
Mailing Address - Fax:714-444-4070
Practice Address - Street 1:3500 S BRISTOL ST
Practice Address - Street 2:STE 205
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92704
Practice Address - Country:US
Practice Address - Phone:714-444-4044
Practice Address - Fax:714-444-4070
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA19912111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor