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Individual

DR. MICHAEL T. RYAN III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
9 NAHANT ST, LYNN, MA 01902-3221
(781) 595-6560
(781) 595-6580
Mailing address
9 NAHANT ST, LYNN, MA 01902-3221
(781) 595-6560
(781) 595-6580

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2384
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2223887
AETNA ID
MA
01
2808856
CIGNA ID
MA
01
409472
TUFTS ID
MA
01
AA37960
HARVARD PILGRIM ID
MA
01
Y36671
BC BS OF MA PROVIDER ID
MA
Enumeration date
12/26/2006
Last updated
07/08/2007
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