Individual
MICHAEL RYAN SUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3535 SOUTHERN BLVD, KETTERING, OH 45429-1221
(937) 395-6665
(937) 395-6668
Mailing address
3535 SOUTHERN BLVD, KETTERING, OH 45429-1221
(937) 395-6665
(937) 395-6668
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35127740
OH
207RC0000X
Cardiovascular Disease Physician
Primary
35127740
OH
208M00000X
Hospitalist Physician
35127740
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0167427
—
OH
Enumeration date
03/22/2013
Last updated
04/01/2025
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