Individual
DR. MICHAEL JOSEPH RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
8310 MEDICAL PLAZA DR, CHARLOTTE, NC 28262-6701
(704) 548-0222
(704) 548-1157
Mailing address
8310 MEDICAL PLAZA DR, CHARLOTTE, NC 28262-6701
(704) 548-0222
(704) 548-1157
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
284
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890807F
—
NC
Enumeration date
06/22/2006
Last updated
07/23/2010
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