Individual
RYAN CHARLES COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
43059 7 MILE RD, NORTHVILLE, MI 48167-2279
(586) 945-1730
Mailing address
43059 7 MILE RD, NORTHVILLE, MI 48167-2279
(586) 945-1730
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301009490
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
950H242000
BCBS
MI
Enumeration date
08/27/2008
Last updated
01/29/2009
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