# DR. RYAN J MICHEL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1275972473
- **Gender:** Man
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 02004536A | IN | — |
| 207W00000X | Ophthalmology Physician | 036-164853 | IL | Yes |
| 207W00000X | Ophthalmology Physician | 34.015087 | OH | — |

## Other

- **Enumeration date:** 06/20/2013
- **Last updated:** 12/16/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 02004536A | INDIANA PROFESSIONAL LICENSING AGENCY MEDICAL LICENSING BOARD | IN |