Individual provider · Type 1 NPI
Leslie Jo Ryan, PA
Medical Physician Assistant · Detroit, MI
NPI number
1578633285
Active
Practice location
2799 W Grand Blvd
Detroit, MI 48202-2608
Fax (313) 916-5960
Mailing address
2799 West Grand Boulevard
Detroit, MI 48202
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 5601003274 (MI) |
Medical Physician Assistant: Definition to come...
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About NPI 1578633285
Leslie Jo Ryan, PA's National Provider Identifier is 1578633285, issued on Nov 9, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Detroit, MI. The record was last updated on Jul 8, 2007.