Thomas Ryan Birris, MD
Internal Medicine, Gastroenterology in Saint Joseph, MI. Individual provider (NPI-1).
NPI number1003083627
StatusActive
Last updated in NPPESMay 26, 2021
Details
- NPI
- 1003083627
- Entity type
- Individual (NPI-1)
- Name
- Thomas Ryan Birris
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 13, 2008
- Certification date
- May 26, 2021
- Last updated
- May 26, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RG0100X | Internal Medicine, Gastroenterology | 4301100025 | MI | Yes |
| 207R00000X | Internal Medicine | 036120897 | IL |
Practice location
3903 Hollywood RdSaint Joseph, MI 49085-9149
Phone 269-408-1100
Mailing address
3903 Hollywood RdSaint Joseph, MI 49085-9149
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