Individual
DR. MICHAEL THOMAS RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
733 BOUSH ST, SUITE 200, NORFOLK, VA 23510-1501
(757) 664-7901
Mailing address
PO BOX 2453, NORFOLK, VA 23501-2453
(757) 664-7901
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
1499898
OR
Other
Enumeration date
02/15/2006
Last updated
02/11/2011
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