Organization
MICHAEL J. RYAN,DPM,PA
Active
Other names
Ryan Foot & Ankle Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL J RYAN DPM (PRESIDENT)
(704) 455-2999
Entity
Organization
Contact information
Practice address
8310 MEDICAL PLAZA DR STE E, CHARLOTTE, NC 28262-6703
(704) 548-0222
(704) 548-1157
Mailing address
3800 HWY 49 SOUTH, HARRISBURG, NC 28075
(704) 455-2999
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0807F
BCBS0807F
NC
Enumeration date
07/10/2008
Last updated
07/10/2008
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