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Individual

SIDNEY RYAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6308 S WARNER AVE, FREMONT, MI 49412-9279
(231) 519-3940
Mailing address
2208 COLLINGWOOD AVE SW, WYOMING, MI 49519-1644
(616) 835-0549

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
125958756
MI

Other

Enumeration date
12/26/2024
Last updated
12/26/2024
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