Individual
RYAN JOSEPH LILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2890 HEALTH PKWY, MT PLEASANT, MI 48858-6931
(989) 953-4111
Mailing address
2890 HEALTH PKWY, MT PLEASANT, MI 48858-6931
(989) 953-4111
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4301103522
MI
Other
Enumeration date
06/17/2013
Last updated
07/24/2019
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