Individual
MS. LESLIE JO RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-9181
(313) 916-5960
Mailing address
2799 WEST GRAND BOULEVARD, DETROIT, MI 48202
(313) 916-9181
(313) 916-5960
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601003274
MI
Other
Enumeration date
11/09/2006
Last updated
07/08/2007
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