RYAN SHERIDAN

LIVONIA, MI
NPI1386131662
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224P00000X Prosthetist
(Licence: MI  CPO03718)
Additional Taxonomies222Z00000X 
(Licence: MI  CPO03718)
Enumeration Date2018-04-22
Last Update Date2020-10-24
Business Address
RYAN SHERIDAN MSPO, CPO
32975 8 MILE RD
LIVONIA, MI 48152-1337
Phone number: 248-615-0600
Mailing Address
RYAN SHERIDAN MSPO, CPO
32975 8 MILE RD
LIVONIA, MI 48152-1337
Phone number: 248-615-0600