Individual
MS. DEIRDRE RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7445 ALLEN RD, SUITE 250, ALLEN PARK, MI 48101-1963
(313) 386-5500
(313) 386-1339
Mailing address
8338 ALLEN RD, SUITE 101, ALLEN PARK, MI 48101-1402
(313) 386-5500
(313) 386-1339
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5601001631
MI
Other
Enumeration date
05/05/2010
Last updated
08/01/2014
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