Individual
DR. RYAN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
1 GENESYS PKWY, GRAND BLANC, MI 48439-8065
(810) 606-5000
Mailing address
861 HEALTH PARK BLVD, GRAND BLANC, MI 48439-7383
(810) 210-3577
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
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