Provider Demographics
NPI:1558663435
Name:MOSKAL, RYAN CURTIS (DC)
Entity Type:Individual
Prefix:
First Name:RYAN
Middle Name:CURTIS
Last Name:MOSKAL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 W MAIN ST UNIT 6A
Mailing Address - Street 2:
Mailing Address - City:BOYNE CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49712-3700
Mailing Address - Country:US
Mailing Address - Phone:231-459-4336
Mailing Address - Fax:
Practice Address - Street 1:5 W MAIN ST UNIT 6A
Practice Address - Street 2:
Practice Address - City:BOYNE CITY
Practice Address - State:MI
Practice Address - Zip Code:49712-3700
Practice Address - Country:US
Practice Address - Phone:231-459-4336
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-25
Last Update Date:2019-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301009677111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor