Individual
MR. RYAN ARTHUR SILVERTHORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
6071 W OUTER DR, DETROIT, MI 48235-2624
(313) 966-3300
Mailing address
2874 TALL OAKS CT, APT 11, AUBURN HILLS, MI 48326-4171
(248) 251-6984
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
4704352012
MI
183700000X
Pharmacy Technician
5303001592
MI
246RP1900X
Phlebotomy Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10089389
PTCB
MI
01
—
4704352012
MICHIGAN BOARD OF NURSING
MI
01
—
5303001592
MI LARA BOARD OF PHARMACY LICENSE
MI
Enumeration date
09/06/2015
Last updated
01/25/2021
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