Provider Demographics
NPI:1801933163
Name:BLANTON, RONALD E (MD)
Entity type:Individual
Prefix:
First Name:RONALD
Middle Name:E
Last Name:BLANTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:WOLSTEIN RESEARCH BUILDING, W4133
Mailing Address - Street 2:2103 CORNELL ROAD
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44106-7286
Mailing Address - Country:US
Mailing Address - Phone:216-368-4814
Mailing Address - Fax:216-368-4825
Practice Address - Street 1:LOUIS STOKES CLEVELAND VA MEDICAL CENTER
Practice Address - Street 2:10701 EAST BOULEVARD
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44106
Practice Address - Country:US
Practice Address - Phone:216-791-3800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35047704207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease