Individual ProviderRonald Max MinglePhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1621 E Broomfield St, Suite B, Mt Pleasant, MI 48858-5427(989) 772-1442(989) 463-0104PECOS EnrollmentBased on the most recent information from CMS, provider Ronald Max Mingle does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1881772861Provider TypeIndividualFull NameMingle, Ronald MaxCredentialPACGenderMaleSole ProprietorNoEnumeration Date11/1/2006Last Updated8/25/2009Contact InformationPractice LocationPractice Address1621 E Broomfield St, Suite B, Mt Pleasant, MI 48858-5427Phone(989) 772-1442Fax(989) 772-0735Mailing LocationMailing AddressPO Box 994, Alma, MI 48801-0994Phone(989) 463-0104Fax(989) 463-0663Provider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense5601001143MichiganProvider IdentifiersIDDescriptionIssuerID0853713260DescriptionOtherIssuerBCBSMMichigan