Individual
RYAN JOSEPH BAXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301107467
MI
207R00000X
Internal Medicine Physician
Primary
72160-20
WI
207R00000X
Internal Medicine Physician
MD467682
PA
208000000X
Pediatrics Physician
4301107467
MI
208000000X
Pediatrics Physician
72160-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0230085
BCBS
MI
05
—
100103241
—
WI
01
—
114008
SID # 114008
CA
05
—
1750655643
—
MI
Enumeration date
02/24/2012
Last updated
06/27/2023
Update your record
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