Individual
RYAN CHRENCIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
12910 SHELBYVILLE RD STE 300, LOUISVILLE, KY 40243-2404
(855) 259-9183
Mailing address
5769 BENT TREE DR, GAYLORD, MI 49735-7604
(989) 350-7702
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901005742
MI
Other
Enumeration date
11/02/2023
Last updated
11/02/2023
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