Individual
MOLLY RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5300 PATTERSON AVE SE, GRAND RAPIDS, MI 49512-5663
(616) 222-5601
Mailing address
5300 PATTERSON AVE SE, GRAND RAPIDS, MI 49512-5663
(616) 222-5601
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704342413
MI
Other
Enumeration date
04/21/2022
Last updated
04/21/2022
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