# MICHAEL J. RYAN,DPM,PA

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

## Provider details

- **NPI number:** 1811150733
- **Authorized official:** DR. MICHAEL J RYAN DPM (PRESIDENT)
- **Authorized official phone:** (704) 455-2999

## Contact information

- **Practice address:** 8310 MEDICAL PLAZA DR STE E, CHARLOTTE, NC 28262-6703
- **Practice address phone:** (704) 548-0222
- **Practice address fax:** (704) 548-1157
- **Mailing address:** 3800 HWY 49 SOUTH, HARRISBURG, NC 28075
- **Mailing address phone:** (704) 455-2999

## Taxonomy

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

## Other

- **Enumeration date:** 07/10/2008
- **Last updated:** 07/10/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0807F | BCBS0807F | NC |