Individual
DR. GARY K RALPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3075 ORCHARD VISTA DR SE, GRAND RAPIDS, MI 49546-7069
(616) 301-8000
Mailing address
3075 ORCHARD VISTA DR SE, GRAND RAPIDS, MI 49546-7069
(616) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
5101010873
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3055218
—
MI
Enumeration date
02/24/2006
Last updated
07/19/2022
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