Organization
RYAN KLANSECK, DO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA MUSKEGON (DIRECTOR OF MEMBERSHIP & PMS)
(616) 213-0253
Entity
Organization
Contact information
Practice address
16986 ROBBINS RD STE 140, GRAND HAVEN, MI 49417-2795
(616) 229-3295
Mailing address
16986 ROBBINS RD STE 140, GRAND HAVEN, MI 49417-2795
(616) 229-3295
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
02/06/2019
Last updated
02/06/2019
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