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Ryan Desantis
Electroneurodiagnostic Specialist/Technologist in Wixom, Michigan
NPI 1407351059

Ryan Desantis is a Electroneurodiagnostic Specialist/Technologist based in Wixom, MI and is specialized in Electroneurodiagnostic. Ryan Desantis practices in Wixom, MI. The NPI Number for Ryan Desantis is 1407351059 and holds a License No. (Michigan).

The current practice location address for Ryan Desantis is 28345 Beck Rd Ste 103, Wixom, MI and can be reached out via phone at 866-766-3783.

Location: 28345 Beck Rd Ste 103, Wixom, MI, 48393-4733
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407351059
Provider Name
Ryan Desantis
Credential
Provider Entity Type
Individual
Gender
Male
Address
28345 Beck Rd Ste 103, Wixom, MI, 48393-4733
Phone Number
866-766-3783
Fax Number
Provider Enumeration Date
03/27/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
28345 Beck Rd Ste 103
City
Wixom
State
Michigan
Zip
48393-4733
Phone Number
866-766-3783
Fax Number
person
Provider Business Mailing Address Details
Address
28345 Beck Rd Ste 103
City
Wixom
State
Michigan
Zip
48393-4733
Phone Number
866-766-3783
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Specialist/Technologist, Other
Speciality
Electroneurodiagnostic
Taxonomy
246ZE0600X
License No.
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Definition
Definition to come...
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