Individual
DR. RYAN YOUNG JIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
717 KIMOLE LANE, # 130, ADRIAN, MI 49221
(517) 265-0292
(517) 265-9220
Mailing address
1 SEAGATE # 800, TOLEDO, OH 43604-1558
(517) 265-0292
(517) 265-9220
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
35-091603
OH
2085R0001X
Radiation Oncology Physician
Primary
4301081853
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158671113
—
MI
05
—
2849681
—
OH
01
—
P00727166
RR MEDICARE
OH
01
—
P00972313
RR MEDICARE
MI
Enumeration date
05/21/2007
Last updated
11/03/2023
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