Individual
DR. KATIE LYNN RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1215 E MICHIGAN AVE, LANSING, MI 48912-1811
(517) 364-1000
Mailing address
1718 GREENCREST AVE, EAST LANSING, MI 48823-2910
(989) 450-3662
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301105146
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301105146
STATE OF MICHIGAN
MI
Enumeration date
06/12/2014
Last updated
06/12/2014
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