Individual
BRYAN RICCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 JEFFERSON AVE SE, GRAND RAPIDS, MI 49503-4502
(616) 685-5000
Mailing address
200 JEFFERSON AVE SE STE 305, GRAND RAPIDS, MI 49503-4502
(616) 685-4615
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4351049448
MI
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/24/2022
Last updated
06/28/2023
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