Individual
RYAN GENNETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
401 W GREENLAWN AVE, LANSING, MI 48910-2819
(517) 975-9500
(517) 975-9520
Mailing address
401 W GREENLAWN AVE, LANSING, MI 48910-2819
(517) 975-9500
(313) 745-4707
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704307979
MI
Other
Enumeration date
04/13/2017
Last updated
06/27/2019
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