Individual
MICHAEL J RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
105 W 8TH AVE STE 7010, SPOKANE, WA 99204-2312
(509) 474-6560
(509) 227-7070
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(866) 747-2455
(509) 227-7070
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD00026567
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0231817
L&I
WV
05
—
1760568414
—
WA
01
—
7209
INTERNAL ID-MOTOR VEHICLE ID
—
Enumeration date
10/27/2006
Last updated
11/08/2021
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