John B Ryan
Sports Medicine Orthopaedic Surgeon
11012 E 13 Mile Rd Suite 201
Warren
, Michigan 48093-2572
John B Ryan
Sports Medicine Orthopaedic Surgeon
11012 E 13 Mile Rd Suite 201
Warren
, Michigan 48093-2572
(586) 582-0964
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About
Features
Specialties
- Sports Medicine Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- John B Ryan
- 29900 Lorraine Ave Suite 400
- Warren, MI
- Zip : 48093-5266
- Fax : (586) 582-0964
- Phone : (586) 582-0864
Second Address
- John B Ryan
- 11012 E 13 Mile Rd Suite 201
- Warren, MI
- Zip : 48093-2572
- Fax : (586) 582-5729
- Phone : (586) 582-0760
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 4301068798 | MI |
National Provider Identifier
| NPI | 1023000882 |
|---|---|
| Provider Name | John B Ryan |
| First Address | Warren, MI 48093-5266 |
| Second Address | Warren, MI 48093-2572 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/08/2005 |
| Last Update Date | 20/11/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 4528910 | (05) | MI |
| D41817 | (02) | |
| JR068798 | BCBS PIN # (01) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.