Individual
RYKER MICHIEL KIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
111 S 5TH ST, DOUGLAS, WY 82633-2434
(307) 358-2122
Mailing address
1 FAIRWAY DR, DOUGLAS, WY 82633-9515
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101023618
MI
Other
Enumeration date
03/03/2015
Last updated
09/29/2021
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