Individual
MR. RYAN EDWARD STROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6333 S EAST ST, INDIANAPOLIS, IN 46227-7107
(800) 526-9252
Mailing address
102 N ADELAIDE ST, FENTON, MI 48430-2663
(810) 629-2245
(810) 593-1029
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
10001701A
IN
Other
Enumeration date
07/24/2014
Last updated
08/03/2017
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