# RYAN JOSEPH BAXTER

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

## Provider details

- **NPI number:** 1750655643
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 4301107467 | MI | — |
| 207R00000X | Internal Medicine Physician | 72160-20 | WI | Yes |
| 207R00000X | Internal Medicine Physician | MD467682 | PA | — |
| 208000000X | Pediatrics Physician | 4301107467 | MI | — |
| 208000000X | Pediatrics Physician | 72160-20 | WI | — |

## Other

- **Enumeration date:** 02/24/2012
- **Last updated:** 06/27/2023