Individual
IAN RIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3394 E JOLLY RD STE A, LANSING, MI 48910-8595
(517) 253-5100
Mailing address
PO BOX 13008, LANSING, MI 48901-3008
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
1063909695
MI
Other
Enumeration date
04/19/2018
Last updated
10/23/2025
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