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1023472818
RYAN BALACANAO HUERTO
YPSILANTI, MI
NPI
1023472818
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MI 4301500319)
Enumeration Date
2016-04-08
Last Update Date
2021-12-20
Business Address
RYAN BALACANAO HUERTO MD
200 ARNET ST
YPSILANTI, MI 48198-5753
Phone number: 734-482-6221
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Mailing Address
RYAN BALACANAO HUERTO MD
3621 S STATE ST
ANN ARBOR, MI 48108-1633
Phone number: 734-647-5299
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