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Individual

DR. MICHAEL J RYAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
885 KEMPSVILLE RD, SUITE 114, NORFOLK, VA 23502-3800
(757) 466-0165
(757) 466-7296
Mailing address
885 KEMPSVILLE RD, SUITE 114, NORFOLK, VA 23502-3800
(757) 466-0165
(757) 466-7296

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
0101036589
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
15124
OPTIMA
VA
01
1659563799
GROUP NPI
VA
01
323627
ANTHEM BCBS
VA
01
4004834
AETNA
VA
01
541870984-008
CIGNA
VA
05
5807751
VA
05
8906542
NC
Enumeration date
12/15/2005
Last updated
08/22/2007
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