Individual
RYAN BORR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
602 MICHIGAN AVE, HOLLAND, MI 49423-4918
(616) 392-5141
Mailing address
2450 VAN OMMEN DR STE B, HOLLAND, MI 49424-8085
(616) 399-4946
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704267123
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704267123
MI
Other
Enumeration date
01/08/2013
Last updated
06/16/2025
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