Individual provider · Type 1 NPI

Ryan Desgrange, PA-C

Medical Physician Assistant · Detroit, MI

NPI number 1801055744 Active

Practice location

2799 W Grand Blvd
Detroit, MI 48202-2608

Call (313) 916-2181 Map

Fax (313) 916-4568

Mailing address

2799 W Grand Blvd # K12
Detroit, MI 48202-2689

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Medical Physician Assistant Primary 363AM0700X1082078 (MI)

Medical Physician Assistant: Definition to come...

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About NPI 1801055744

Ryan Desgrange, PA-C's National Provider Identifier is 1801055744, issued on Jun 5, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Detroit, MI. The record was last updated on Jan 29, 2021.