Individual
DR. RYAN PAUL TERLOUW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1675 PATRIOT DR, MUSKEGON, MI 49444-7807
(231) 739-1933
Mailing address
1316 MERCY DR, MUSKEGON, MI 49444-1835
(231) 739-1930
(231) 733-8131
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
4301112907
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376833509
—
MI
Enumeration date
04/08/2011
Last updated
01/24/2018
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