# RYAN KLANSECK, DO

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447715131
- **Authorized official:** SANDRA MUSKEGON (DIRECTOR OF MEMBERSHIP & PMS)
- **Authorized official phone:** (616) 213-0253

## Contact information

- **Practice address:** 16986 ROBBINS RD STE 140, GRAND HAVEN, MI 49417-2795
- **Practice address phone:** (616) 229-3295
- **Mailing address:** 16986 ROBBINS RD STE 140, GRAND HAVEN, MI 49417-2795
- **Mailing address phone:** (616) 229-3295

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 02/06/2019
- **Last updated:** 02/06/2019