Provider Demographics
NPI:1245376987
Name:ADELMAN, RONALD PHILLIP (DPM)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:PHILLIP
Last Name:ADELMAN
Suffix:
Gender:
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 FRANK LLOYD WRIGHT DR STE J2000
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105-9484
Mailing Address - Country:US
Mailing Address - Phone:347-476-7667
Mailing Address - Fax:734-414-0875
Practice Address - Street 1:990 W ANN ARBOR TRL STE 200
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MI
Practice Address - Zip Code:48170-1686
Practice Address - Country:US
Practice Address - Phone:734-414-0874
Practice Address - Fax:734-414-0875
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5901002171213E00000X, 213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI48-5-82-1556-0OtherBLUE CROSS
MI5207598Medicaid
MI5821556OtherBLUE CARE NETWORK