Individual
RYAN MICHAEL FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2575
(910) 450-4357
Mailing address
U S MARINE CORPS FORCES COMMAND 1775 FORRESTAL DRIVE, NORFOLK, VA 23551-0001
(850) 274-2734
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME150534
FL
Other
Enumeration date
03/28/2016
Last updated
10/01/2021
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