Provider Demographics
NPI:1417252800
Name:HOWSER, RYAN R (PEDORTHIST)
Entity Type:Individual
Prefix:
First Name:RYAN
Middle Name:R
Last Name:HOWSER
Suffix:
Gender:M
Credentials:PEDORTHIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1864 E US 23
Mailing Address - Street 2:SUITE B2
Mailing Address - City:EAST TAWAS
Mailing Address - State:MI
Mailing Address - Zip Code:48730-9349
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1864 E US 23
Practice Address - Street 2:SUITE B2
Practice Address - City:EAST TAWAS
Practice Address - State:MI
Practice Address - Zip Code:48730-9349
Practice Address - Country:US
Practice Address - Phone:989-362-7500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-17
Last Update Date:2011-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224L00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPedorthist