Provider Demographics
NPI:1801399308
Name:MALONEY, RYAN PATRICK (DC)
Entity Type:Individual
Prefix:DR
First Name:RYAN
Middle Name:PATRICK
Last Name:MALONEY
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 1:4805 TOWNE CENTRE RD STE 101
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48604-2831
Mailing Address - Country:US
Mailing Address - Phone:989-790-2700
Mailing Address - Fax:989-790-2741
Practice Address - Street 1:4805 TOWNE CENTRE RD STE 101
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48604-2831
Practice Address - Country:US
Practice Address - Phone:989-790-2700
Practice Address - Fax:989-790-2741
Is Sole Proprietor?:No
Enumeration Date:2018-03-12
Last Update Date:2020-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301010603111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor