Organization
JAMES T RYAN D O PLLC
Active
Other names
RYAN FAMILY PRACTICE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES T RYAN D.O (PHYSICAN, SOLE MBR)
(231) 425-4447
Entity
Organization
Contact information
Practice address
300 S RATH AVE, SUITE 202, LUDINGTON, MI 49431-3003
(231) 425-4447
(231) 425-4401
Mailing address
300 S RATH AVE, SUITE 202, LUDINGTON, MI 49431-3003
(231) 425-4447
(231) 425-4401
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
510106838
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M19520029
MEDICARE
MI
Enumeration date
07/23/2014
Last updated
07/23/2014
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