Individual
DR. RYAN J MICHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2401 W MAIN ST, MARION, IL 62959-1188
(618) 997-5311
Mailing address
2401 W MAIN ST, MARION, IL 62959-1188
(618) 997-5311
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
02004536A
IN
207W00000X
Ophthalmology Physician
Primary
036-164853
IL
207W00000X
Ophthalmology Physician
34.015087
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02004536A
INDIANA PROFESSIONAL LICENSING AGENCY MEDICAL LICENSING BOARD
IN
Enumeration date
06/20/2013
Last updated
12/16/2024
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