Healthcare Provider Details

I. General information

NPI: 1013220615
Provider Name (Legal Business Name): RYAN MICHAEL FREES D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2010
Last Update Date: 10/21/2025
Certification Date: 10/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 W 29TH ST STE 100
BALTIMORE MD
21211-2909
US

IV. Provider business mailing address

7920 MCDONOGH RD STE 101
OWINGS MILLS MD
21117-5249
US

V. Phone/Fax

Practice location:
  • Phone: 410-529-0441
  • Fax: 410-356-9987
Mailing address:
  • Phone: 410-356-9939
  • Fax: 410-356-9987

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number04179
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: