Provider Demographics
NPI:1275004319
Name:KORYCIAK, RYAN CURTIS (MD, MA, BA, TLLP)
Entity Type:Individual
Prefix:MR
First Name:RYAN
Middle Name:CURTIS
Last Name:KORYCIAK
Suffix:
Gender:M
Credentials:MD, MA, BA, TLLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3353 HOSPITAL RD
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48603-9622
Mailing Address - Country:US
Mailing Address - Phone:989-746-9633
Mailing Address - Fax:
Practice Address - Street 1:HOPE NETWORK/ NEW PASSAGE
Practice Address - Street 2:1110 ELDON BAKER DR.
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48507-9622
Practice Address - Country:US
Practice Address - Phone:810-213-1803
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-16
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator