Individual
RYAN R LIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
39350 9 MILE RD, NORTHVILLE, MI 48167-9164
(248) 735-6081
Mailing address
39350 9 MILE RD, NORTHVILLE, MI 48167-9164
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704286390
MI
Other
Enumeration date
12/09/2021
Last updated
05/27/2023
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