Individual
RYAN VINCENT TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
(734) 936-4000
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
4301105210
MI
207P00000X
Emergency Medicine Physician
Primary
DR.0060051
CO
Other
Enumeration date
05/16/2014
Last updated
08/03/2023
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