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1114364593
MICHAEL RYAN REDISKE
WPAFB, OH
NPI
1114364593
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: MI 2901020918)
Enumeration Date
2013-05-27
Last Update Date
2019-09-05
Business Address
DR. MICHAEL RYAN REDISKE D.D.S.
4881 SUGAR MAPLE DR
WPAFB, OH 45433-5529
Phone number: 616-443-6546
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Mailing Address
DR. MICHAEL RYAN REDISKE D.D.S.
300 TUSKEGEE BLVD
DOVER AFB, DE 19902-5003
Phone number: 302-677-2077
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