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Individual

MR. JOSHUA RYDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CO

Contact information

Practice address
4915 STANTON BLVD, MONTAGUE, MI 49437-1039
(239) 894-0045
Mailing address
4915 STANTON BOULAVARD, MONTAGUE, MI 49437-9519
(239) 894-0045

Taxonomy

Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary

Other

Enumeration date
11/04/2015
Last updated
11/04/2015
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