# MICHAEL J RYAN DPM PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ryan Foot and Ankle Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215085832
- **Authorized official:** DR. MICHAEL J RYAN DPM (OWNER)
- **Authorized official phone:** (704) 788-9797

## Contact information

- **Practice address:** 492 COPPERFIELD BLVD NE, CONCORD, NC 28025-2404
- **Practice address phone:** (704) 548-0222
- **Practice address fax:** (704) 548-1157
- **Mailing address:** 492 COPPERFIELD BLVD NE, CONCORD, NC 28025-2404
- **Mailing address phone:** (704) 788-9797
- **Mailing address fax:** (704) 788-6830

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 463 | NC | Yes |

## Other

- **Enumeration date:** 01/08/2007
- **Last updated:** 07/16/2013