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Individual
DR. RYAN PATRICK STORK
Active
Individual
DR. RYAN PATRICK STORK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
4301098293
MI
2081P0301X
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
Primary
S5507
TX
Other
Enumeration date
04/06/2011
Last updated
05/11/2020
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