Individual
DR. MICHAEL JOHN RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 E MEDICAL CENTER DRIVE, B1 FLOOR UNIVERSITY HOSPITAL RECP C, ANN ARBOR, MI 48109-5030
(734) 936-4566
Mailing address
3264 N EVERGREEN DR NE, 700 KMS PLACE, GRAND RAPIDS, MI 49525-9746
(616) 363-7339
(616) 361-5828
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4301098013
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/07/2010
Last updated
06/09/2016
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