Individual
MS. ABBY JO RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, ATC
Contact information
Practice address
5352 BECKLEY RD, BATTLE CREEK, MI 49015-4155
(269) 979-6889
Mailing address
5352 BECKLEY RD, BATTLE CREEK, MI 49015
(269) 979-6889
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601005765
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104840529
BCBS - BRONSON
MI
Enumeration date
10/28/2010
Last updated
11/27/2023
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