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NPI Code Detail

MEDICARE: RYAN L MEREDITH MD

MEDICARE:   RYAN L MEREDITH  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1231H00000XAudiologist3501003357MI

General Provider Information

NPI Number : 1326149089
Entity Type Code : Individual
Provider Name (Legal Business Name) : RYAN L MEREDITH MD
Provider Business Mailing Address
First Line : 2246 N MONROE ST
Second Line :
City : MONROE
State : MI
Zip : 48162-4254
Country : US
Telephone Number : 734-243-0220
Fax Number : 734-243-4269
Provider Business Practice Location Address
First Line : 2246 N MONROE ST
Second Line :
City : MONROE
State : MI
Zip : 48162-4254
Country : US
Telephone Number : 734-243-0220
Fax Number : 734-243-4269
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2006
Last Update Date : 07/08/2007

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Directions to “ RYAN L MEREDITH MD” Practice Location

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