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Individual

JOEL RYAN DANK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
405 US HIGHWAY 41, NEGAUNEE, MI 49866-1327
(906) 475-6312
Mailing address
4602 DEPT, CAROL STREAM, IL 60122-0021
(906) 225-3864
(906) 225-3851

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301086084
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
08-0-52-1137-2
BCBS OF MICHIGAN
MI
05
1073730669
MI
01
JD086084
BCBS OF MICHIGAN
MI
Enumeration date
04/18/2007
Last updated
04/21/2009
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