Individual
DR. MICHAEL J RYAN
Active
Individual
DR. MICHAEL J RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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