Healthcare Provider Details

I. General information

NPI: 1144510611
Provider Name (Legal Business Name): RYAN MICHAEL HUFFMAN DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/18/2011
Last Update Date: 07/29/2025
Certification Date: 07/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 BROCKWAY RD
YALE MI
48097-3403
US

IV. Provider business mailing address

7685 BROCKWAY RD
BROCKWAY MI
48097-3459
US

V. Phone/Fax

Practice location:
  • Phone: 810-387-3700
  • Fax: 810-387-4737
Mailing address:
  • Phone: 810-387-3700
  • Fax: 810-387-4737

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberRH009751
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: