Provider Demographics
NPI:1922249010
Name:RAMALES, RYAN NATHANIEL (PA-C)
Entity Type:Individual
Prefix:MR
First Name:RYAN
Middle Name:NATHANIEL
Last Name:RAMALES
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Gender:M
Credentials:PA-C
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Mailing Address - Street 1:15855 19 MILE RD
Mailing Address - Street 2:HENRY FORD MACOMB HOSPITAL
Mailing Address - City:CLINTON TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48038-3504
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:15855 19 MILE RD
Practice Address - Street 2:HENRY FORD MACOMB HOSPITAL
Practice Address - City:CLINTON TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48038-3504
Practice Address - Country:US
Practice Address - Phone:586-263-2100
Practice Address - Fax:586-263-2925
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-18
Last Update Date:2009-03-19
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Provider Licenses
StateLicense IDTaxonomies
MI5601003763363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical