Provider Demographics
NPI:1851740427
Name:ARMSTRONG, RYAN WADE
Entity Type:Individual
Prefix:MR
First Name:RYAN
Middle Name:WADE
Last Name:ARMSTRONG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5713 GRAND RIVER RD
Mailing Address - Street 2:
Mailing Address - City:RIVES JUNCTION
Mailing Address - State:MI
Mailing Address - Zip Code:49277-9684
Mailing Address - Country:US
Mailing Address - Phone:517-748-3220
Mailing Address - Fax:
Practice Address - Street 1:5713 GRAND RIVER RD
Practice Address - Street 2:
Practice Address - City:RIVES JUNCTION
Practice Address - State:MI
Practice Address - Zip Code:49277-9684
Practice Address - Country:US
Practice Address - Phone:517-748-3220
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-06
Last Update Date:2016-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other