Individual
JASON THOMAS RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1535 GULL RD STE 20, KALAMAZOO, MI 49048-1626
(269) 381-4577
Mailing address
1535 GULL RD STE 20, KALAMAZOO, MI 49048-1626
(269) 381-4577
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301096222
MI
Other
Enumeration date
06/02/2010
Last updated
12/17/2018
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