Ryan Desantis

NPI #1407351059 in Wixom, Michigan

Provider Information

NPI Number
1407351059
Entity Type
Individual
Name
Ryan Desantis
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist, Other - Electroneurodiagnostic
Enumeration Date
Mar 27, 2018
Last Updated
Mar 27, 2018

Practice Location

Address
28345 BECK RD STE 103
City
Wixom
ZIP Code
48393-4733
Phone
(866) 766-3783

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist, Other - ElectroneurodiagnosticElectroneurodiagnostic

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