Basic Information
| Provider Information | |||||||||
| NPI: | 1215960125 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | RAMUS | ||||||||
| FirstName: | STEVEN | ||||||||
| MiddleName: | F | ||||||||
| NamePrefix: | MR. | ||||||||
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| Credential: | PA-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 28800 RYAN RD STE 120 | ||||||||
| Address2: | |||||||||
| City: | WARREN | ||||||||
| State: | MI | ||||||||
| PostalCode: | 480924269 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5865582860 | ||||||||
| FaxNumber: | 5865584624 | ||||||||
| Practice Location | |||||||||
| Address1: | 28800 RYAN RD STE 120 | ||||||||
| Address2: | |||||||||
| City: | WARREN | ||||||||
| State: | MI | ||||||||
| PostalCode: | 480924269 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5865582860 | ||||||||
| FaxNumber: | 5865584624 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/07/2006 | ||||||||
| LastUpdateDate: | 06/07/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RP1001X | 5601004697 | MI | N | Allopathic & Osteopathic Physicians | Internal Medicine | Pulmonary Disease | 363AM0700X | 5601004697 | MI | N | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | Medical | 363AS0400X | 5601004697 | MI | Y | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | Surgical |
No ID Information.