Individual
MICHAEL S RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1215 LEE ST, CHARLOTTESVILLE, VA 22908-4906
(434) 924-0000
(434) 982-3816
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101245012
VA
208000000X
Pediatrics Physician
125-051348
IL
Other
Enumeration date
06/18/2008
Last updated
09/09/2022
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