REYNARD RONALD BOUKNIGHT MD

BOARD OF TRUSTEES OF MICHIGAN STATE UNIVERSITY

Dr REYNARD RONALD BOUKNIGHT MD is a male medical professional, specializing in Internal Medicine. He graduated in 1975 from Michigan State University College Of Human Medicine.

Contact

BOARD OF TRUSTEES OF MICHIGAN STATE UNIVERSITY

804 SERVICE RD RM
A225
EAST LANSGING
MI
488247040

Tel: 5173534941

REYNARD RONALD BOUKNIGHT MD Information

Npi 1962444307
Pac Id 4183609423
Professional Enrollment Id I20040622000181
Last Name BOUKNIGHT
First Name REYNARD
Middle Name RONALD
Suffix
Gender M
Credential MD
Medical School Name MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduation Year 1975
Primary Specialty INTERNAL MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name BOARD OF TRUSTEES OF MICHIGAN STATE UNIVERSITY
Group Practice Pac Id 3870405954
Number Of Group Practice Members 198
Line 1 Street Address 804 SERVICE RD RM
Line 2 Street Address A225
Marker Of Address Line 2 Suppression
City EAST LANSGING
State MI
Zip Code 488247040
Phone Number 5173534941
Hospital Affiliation Ccn 1 230230
Hospital Affiliation Lbn 1 EDWARD W SPARROW HOSPITAL
Hospital Affiliation Ccn 2 230167
Hospital Affiliation Lbn 2 MCLAREN GREATER LANSING
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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