Individual
DR. JAMES THOMAS RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
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
207Q00000X
Family Medicine Physician
Primary
5101016838
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437271996
—
MI
01
—
5531349
BCBS
MI
Enumeration date
04/04/2007
Last updated
10/25/2012
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