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Individual
DR. MICHAEL T. RYAN III
Active
Individual
DR. MICHAEL T. RYAN III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2384
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2223887
AETNA ID
MA
01
—
2808856
CIGNA ID
MA
01
—
409472
TUFTS ID
MA
01
—
AA37960
HARVARD PILGRIM ID
MA
01
—
Y36671
BC BS OF MA PROVIDER ID
MA
Enumeration date
12/26/2006
Last updated
07/08/2007
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