Ryan Miceli

NPI 1770021149 · on the registry since 2017 · sole proprietor

Practice

Address: 2206 Mitchell Park Dr
Suite 14
Petoskey, MI 49770
Phone: (231) 348-7777
Organisation at this address: Finity, Inc.
Robert A Cook Md Pc
Great Lakes Ttc,Llc
Abby D Center, Inc.
The Abby D Center, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 14

Registry record

Primary taxonomy: 235Z00000X
235Z00000X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2017-02-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan