Individual
CHARLENE M RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 GENESYS PKWY, GRAND BLANC, MI 48439-8065
(810) 606-5000
Mailing address
2812 CLARK RD, LAPEER, MI 48446-9482
(810) 667-7149
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704127995
MI
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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