Individual
RYAN SHERIDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPO, CPO
Contact information
Practice address
32975 8 MILE RD, LIVONIA, MI 48152-1337
(248) 615-0600
Mailing address
32975 8 MILE RD, LIVONIA, MI 48152-1337
(248) 615-0600
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
CPO03718
MI
224P00000X
Prosthetist
Primary
CPO03718
MI
Other
Enumeration date
04/22/2018
Last updated
10/24/2020
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