Individual
RYAN JOSEPH BARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
22250 PROVIDENCE DR, SUITE 601, SOUTHFIELD, MI 48075-4825
(248) 569-7745
(248) 569-4539
Mailing address
PO BOX 5, ROYAL OAK, MI 48068-0005
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
5101015215
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740317957
—
MI
01
—
700E012300
BCBS GROUP NUMBER
MI
Enumeration date
02/27/2007
Last updated
10/30/2023
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