Ryan K Fontanilla, MD
NPI #1083821110 in Grand Rapids, Michigan
Provider Information
- NPI Number
- 1083821110
- Entity Type
- Individual
- Name
- Ryan K Fontanilla, MD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Psychiatry & Neurology - Psychiatry
- Credential
- MD
- Enumeration Date
- May 17, 2007
- Last Updated
- Dec 18, 2013
Practice Location
- Address
- 300 68TH ST SE
- City
- Grand Rapids
- State
- Michigan
- ZIP Code
- 49548-6927
- Phone
- (616) 455-5270
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Psychiatry — Psychiatry |
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