Healthcare Provider Details

I. General information

NPI: 1366159337
Provider Name (Legal Business Name): RYAN RUSCHMANN HIS, HAD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/31/2022
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3901 ALPINE AVE NW
COMSTOCK PARK MI
49321-8350
US

IV. Provider business mailing address

1700 N UNIVERSITY DR FL 4107
PLANTATION FL
33322-4107
US

V. Phone/Fax

Practice location:
  • Phone: 616-647-4671
  • Fax:
Mailing address:
  • Phone: 877-439-2665
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number3501014053
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number3502013213
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: