Individual
RYAN KOLLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1028 HANNAH AVE, STE D, TRAVERSE CITY, MI 49686-2963
(231) 946-7360
(231) 929-4775
Mailing address
1028 HANNAH AVE, STE D, TRAVERSE CITY, MI 49686-2963
(231) 946-7360
(231) 929-4775
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301004860
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0B85010
BLUE CROSS BLUE SHIELD OF MI
MI
05
—
3328683
—
MI
Enumeration date
12/16/2005
Last updated
05/06/2008
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