Healthcare Provider Details

I. General information

NPI: 1740142827
Provider Name (Legal Business Name): RYAN BARISH, MD, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/26/2025
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 CORPORATE OFFICE DR STE 100
MILFORD MI
48381-5011
US

IV. Provider business mailing address

1100 CORPORATE OFFICE DR STE 100
MILFORD MI
48381-5011
US

V. Phone/Fax

Practice location:
  • Phone: 248-985-7900
  • Fax: 248-925-4087
Mailing address:
  • Phone: 248-985-7900
  • Fax: 248-925-4087

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. RYAN BARISH
Title or Position: OWNER
Credential: MD
Phone: 248-985-7900