Individual
RYAN MICELI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2206 MITCHELL PARK DR, SUITE 14, PETOSKEY, MI 49770-8674
(231) 348-7777
Mailing address
208 E SHERIDAN ST, APT 6, PETOSKEY, MI 49770-2956
(248) 762-8418
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101005418
MI
Other
Enumeration date
02/06/2017
Last updated
02/06/2017
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