Individual
DR. MICHAEL PHILIP RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
39400 PASEO PADRE PKWY, FREMONT, CA 94538-2310
(510) 248-3045
Mailing address
39400 PASEO PADRE PKWY, FREMONT, CA 94538-2310
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A191514
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2020
Last updated
08/02/2024
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