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Individual

DR. WM RYAN REYNOLDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1508 W CENTRE AVE STE 3, PORTAGE, MI 49024-5356
(269) 343-2667
Mailing address
1508 W CENTRE AVE STE 3, PORTAGE, MI 49024-5356
(269) 343-2667

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
2301009081
MI
111NX0800X
Orthopedic Chiropractor
Primary
WR009081
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4962083
MI
Enumeration date
02/13/2006
Last updated
07/17/2025
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