Leslie Jo Ryan in Detroit - Medical

Leslie Jo Ryan - NPI 1578633285

Leslie Jo Ryan is a Medical in Detroit, Michigan. Leslie Jo Ryan practices all healthcare services and medical treatments related to Medical. The NPI Number for Leslie Jo Ryan is 1578633285. The last update date is 2007-07-08.

Leslie Jo Ryan's current location address is 2799 West Grand Boulevard, Detroit, Michigan. You can contact this provider via phone number 3139169181 and fax number 3139165960. The mailing address for Leslie Jo Ryan is 2799 West Grand Boulevard, Detroit, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Leslie Jo Ryan
Address 2799 West Grand Boulevard, Detroit, Michigan
Phone Number 3139169181
Fax Number 3139165960
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1578633285
Provider Enumeration Date 2006-11-09
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2799 West Grand Boulevard
City Detroit
State Michigan (MI)
Post Code 48202
Phone Number 3139169181
Fax Number 3139165960

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No 5601003274
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

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FAQs about Leslie Jo Ryan

What is the unique provider identifier assigned to Leslie Jo Ryan?

The Leslie Jo Ryan has been issued the NPI (National Provider Identifier) 1578633285 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Leslie Jo Ryan's facilities are situated?

The facilities of Leslie Jo Ryan are physically located at the following address: 2799 West Grand Boulevard, Detroit, MI, 48202.

What is Leslie Jo Ryan's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Leslie Jo Ryan is Medical, and the taxonomy code that categorizes this field of expertise is 363Am0700X.

On what date was the 1578633285 assigned to Leslie Jo Ryan?

The Leslie Jo Ryan was issued its 1578633285 on 2006-11-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Leslie Jo Ryan most recently updated or revised?

The details related to Leslie Jo Ryan, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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