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Individual

ADAM RYAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
5300 PATTERSON AVE SE, GRAND RAPIDS, MI 49512-5663
(616) 222-5601
Mailing address
5300 PATTERSON AVE SE, GRAND RAPIDS, MI 49512-5663
(616) 222-5601

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704287154
MI

Other

Enumeration date
04/20/2022
Last updated
04/20/2022
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