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Individual

DR. RYAN MATTHEW HAELY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
7500 TOWN CENTRE DR, STE 300, BROADVIEW HTS, OH 44147-4009
(440) 838-5755
Mailing address
6162 CARLYLE DR, SEVEN HILLS, OH 44131-2920
(216) 986-1806

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC 3160
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2282551
OH
01
341958266-001
MEDICAL MUTUAL PAYEE NUM
OH
Enumeration date
05/23/2005
Last updated
08/31/2010
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