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Individual

DR. MICHAEL RYAN REDISKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
4881 SUGAR MAPLE DR, WPAFB, OH 45433-5529
(616) 443-6546
Mailing address
300 TUSKEGEE BLVD, DOVER AFB, DE 19902-5003
(302) 677-2077

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901020918
MI

Other

Enumeration date
05/27/2013
Last updated
09/05/2019
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