Most Relevant Information
Provider Data
| NPI Number: | 1003355892 |
| Provider Name: | RYAN STANKEY |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: | 5302041981 |
Most Important Dates
| Enumeration Date: | 02/14/2017 |
| Last Updated: | 02/14/2017 |
Provider Practice Location
315 WILSON AVE NW
GRAND RAPIDS
MI
495343554
Practice Location Phone/Fax
| Phone: | 6167352110 |
| Fax: |
Provider Mailing Location
6725 HOMERICH AVE SW
BYRON CENTER
MI
493158730
Provider Mailing Phone/Fax
| Phone: | 6165508757 |
| Fax: |