Individual
DR. RUSSELL JAMES HUBBARD RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 E MEDICAL CENTER DRIVE, 2ND FLOOR UNIVERSITY HOSPITAL RECP PATHOLOGY, ANN ARBOR, MI 48109-5054
(800) 862-7284
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
207ZC0006X
Clinical Pathology Physician
Primary
4301111690
MI
207ZH0000X
Hematology (Pathology) Physician
4301111690
MI
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
L-232322
MA
Other
Enumeration date
06/15/2007
Last updated
03/24/2017
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