Individual
DR. RYAN MICHAEL ANGELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
119 BROADWAY STE 1, CHESTERTON, IN 46304-2472
(219) 395-6635
Mailing address
119 BROADWAY STE 1, CHESTERTON, IN 46304-2472
(219) 395-6635
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08002937A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08002937A
STATE OF INDIANA
IN
Enumeration date
09/06/2022
Last updated
09/06/2022
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