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Individual

RYAN C O'CONNOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
4660 S HAGADORN RD STE 520, EAST LANSING, MI 48823-6804
(517) 884-8701
(517) 884-8787
Mailing address
804 SERVICE RD STE A109B, EAST LANSING, MI 48824-7015
(517) 884-8701
(517) 884-8787

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
5101014205
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1194714691
MI
Enumeration date
10/18/2005
Last updated
06/27/2023
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