Individual
DR. RALPH G. RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14 LAKE ST, OAK PARK, IL 60302-2606
(708) 383-0113
(708) 383-9911
Mailing address
2700 BAKER ST FL 3, MUSKEGON, MI 49444-2157
(231) 737-1335
(231) 737-0534
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036054943
IL
207RC0000X
Cardiovascular Disease Physician
4301043406
MI
207RI0011X
Interventional Cardiology Physician
4301043406
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1632944
—
MI
Enumeration date
08/31/2005
Last updated
01/02/2020
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