Provider Demographics
NPI:1144406240
Name:RODARMER, RYAN R (MS, CGC)
Entity Type:Individual
Prefix:MR
First Name:RYAN
Middle Name:R
Last Name:RODARMER
Suffix:
Gender:M
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 MICHIGAN ST NE
Mailing Address - Street 2:MC 134
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49503-2560
Mailing Address - Country:US
Mailing Address - Phone:616-391-0394
Mailing Address - Fax:616-391-3114
Practice Address - Street 1:100 MICHIGAN ST NE
Practice Address - Street 2:MC 134
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49503-2560
Practice Address - Country:US
Practice Address - Phone:616-391-2700
Practice Address - Fax:616-391-3114
Is Sole Proprietor?:No
Enumeration Date:2008-01-18
Last Update Date:2011-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS