Provider Demographics
NPI:1972126746
Name:LOWE, RONALD CREIGHTON III (DPM)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:CREIGHTON
Last Name:LOWE
Suffix:III
Gender:M
Credentials:DPM
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Mailing Address - Street 1:14229 TORREY RD STE 1
Mailing Address - Street 2:
Mailing Address - City:FENTON
Mailing Address - State:MI
Mailing Address - Zip Code:48430-3308
Mailing Address - Country:US
Mailing Address - Phone:810-629-3338
Mailing Address - Fax:810-629-9243
Practice Address - Street 1:14229 TORREY RD STE 1
Practice Address - Street 2:
Practice Address - City:FENTON
Practice Address - State:MI
Practice Address - Zip Code:48430-3308
Practice Address - Country:US
Practice Address - Phone:810-629-3338
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-27
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5951001363213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist