Provider Demographics
NPI:1013031145
Name:RYERSON, LINDSAY MARGOT (MD)
Entity Type:Individual
Prefix:DR
First Name:LINDSAY
Middle Name:MARGOT
Last Name:RYERSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:630 2ND ST
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48103-4979
Mailing Address - Country:US
Mailing Address - Phone:734-327-0885
Mailing Address - Fax:734-936-9470
Practice Address - Street 1:1500 E MEDICAL CENTER DR
Practice Address - Street 2:L1242 WOMENS, 0204
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48109-0999
Practice Address - Country:US
Practice Address - Phone:734-936-4038
Practice Address - Fax:734-936-9470
Is Sole Proprietor?:No
Enumeration Date:2007-03-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301084058208000000X, 390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered208000000XAllopathic & Osteopathic PhysiciansPediatrics
Not Answered390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program