Individual
DR. ADAM PAUL RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1001 S HEMLOCK ST, IRON MOUNTAIN, MI 49801-3805
(906) 776-5982
(906) 774-4735
Mailing address
PO BOX 549, IRON MOUNTAIN, MI 49801-0549
(906) 776-5982
(906) 774-4735
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301079271
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1602201141
BCBS MI
MI
01
—
233893
MEDICARE- RURAL HEALTH RIVER BEND
MI
01
—
34225000
MEDICAID
WI
05
—
4416207
—
MI
Enumeration date
09/06/2006
Last updated
11/03/2014
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