Ronaldo Supena, MD

NPI 1275576886 · on the registry since 2006 · sole proprietor

Practice

Address: 611 Martin Luther King Jr Blvd
Detroit, MI 48201
Phone: (313) 832-6300
Fax: (313) 832-2075
Organisation at this address: Detroit Community Health Connection, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 207RI0200X
207RI0200X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2022-11-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan