MEDICARE: RYAN BARISH, MD, PLLC

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
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1740142827
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RYAN BARISH, MD, PLLC

Provider Business Mailing Address
First Line	:	30468 TURTLE CRK
Second Line	:
City	:	FARMINGTON HILLS
State	:	MI
Zip	:	48331-1223
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	30468 TURTLE CRK
Second Line	:
City	:	FARMINGTON HILLS
State	:	MI
Zip	:	48331-1223
Country	:	US
Telephone Number	:	248-390-0074
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. RYAN BARISH
Credential	:	MD
Telephone Number	:	248-390-0074

Provider Enumeration Date	:	11/26/2025
Last Update Date	:	11/26/2025

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