Ryan Baxter
Student in an Organized Health Care Education/Training Program in Brooklyn, MI. Individual provider (NPI-1).
NPI number1760109912
StatusActive
Last updated in NPPESOct 27, 2022
Details
- NPI
- 1760109912
- Entity type
- Individual (NPI-1)
- Name
- Ryan Baxter
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 27, 2022
- Certification date
- Oct 25, 2022
- Last updated
- Oct 27, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
11301 Brooklyn RdBrooklyn, MI 49230-8485
Phone 517-592-2475
Mailing address
6451 Skylark DrJackson, MI 49201-8549
Phone 517-395-9584
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All 17 Student in an Organized Health Care Education/Training Program providers in Brooklyn · All 154 providers in Brooklyn
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