Individual
DR. RYAN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
5101019410
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5101019410
STATE
MI
Enumeration date
06/08/2011
Last updated
04/24/2017
Update your record
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