Ryan Desgrange is a Medical in Detroit, Michigan. Ryan Desgrange practices all healthcare services and medical treatments related to Medical. The NPI Number for Ryan Desgrange is 1801055744. The last update date is 2021-01-29.
Ryan Desgrange's current location address is 2799 W Grand Blvd, Detroit, Michigan. You can contact this provider via phone number 3139162181 and fax number 3139164568. The mailing address for Ryan Desgrange is 2799 W Grand Blvd, Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ryan Desgrange |
|---|---|
| Address | 2799 W Grand Blvd, Detroit, Michigan |
| Phone Number | 3139162181 |
| Fax Number | 3139164568 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1801055744 |
|---|---|
| Provider Enumeration Date | 2008-06-05 |
| Last Updated Date | 2021-01-29 |
Provider Mailing Address Detail
| Address | 2799 W Grand Blvd |
|---|---|
| City | Detroit |
| State | Michigan (MI) |
| Post Code | 482022608 |
| Phone Number | 3139162181 |
| Fax Number | 3139164568 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 1082078 |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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What is the unique 10-digit identification code issued to Ryan Desgrange by the Centers for Medicare & Medicaid Services?
The Ryan Desgrange has been assigned the NPI (National Provider Identifier) 1801055744 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Ryan Desgrange is geographically located?
The Ryan Desgrange is physically situated at the following location: 2799 W Grand Blvd, Detroit, MI, 482022608.
What is the Ryan Desgrange's specialty and taxonomy code?
The Ryan Desgrange's specialty is Medical, and the corresponding taxonomy code is 363Am0700X.
On what date did the Ryan Desgrange receive the assignment of its 1801055744 from the Centers for Medicare & Medicaid Services?
The Ryan Desgrange was issued its 1801055744 by the Centers for Medicare & Medicaid Services on 2008-06-05.
As of what date was the information regarding Ryan Desgrange, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Ryan Desgrange, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-01-29.