Individual
DR. RYAN LAWRENCE YODER
Active
Individual
DR. RYAN LAWRENCE YODER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
4301079565
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0A31027
BLUE CROSS BLUE SHIELD GROUP PIN
MI
01
—
130131662
BLUE CROSS BLUE SHIELD PIN
MI
01
—
4301079565
STATE LICENSE NUMBER
MI
05
—
4915744
—
MI
01
—
CN7211
RAILROAD MEDICARE GROUP PIN
MI
01
—
P00352218
RAILROAD MEDICARE
MI
Enumeration date
08/27/2006
Last updated
11/27/2023
Update your record
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