Individual
MICHAEL THOMAS RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CM1, PRSS
Contact information
Practice address
5208 CLASSEN CIR, OKLAHOMA CITY, OK 73118-4429
(405) 810-1766
(405) 810-0331
Mailing address
5208 CLASSEN CIR, OKLAHOMA CITY, OK 73118-4429
(405) 810-1766
(405) 810-0331
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
OK
Other
Enumeration date
01/27/2014
Last updated
01/27/2014
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