Provider Demographics
NPI:1881986222
Name:STRAIGHT, RYAN ANDREW (PHYSICIAN ASSISTANT)
Entity type:Individual
Prefix:MR
First Name:RYAN
Middle Name:ANDREW
Last Name:STRAIGHT
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Gender:
Credentials:PHYSICIAN ASSISTANT
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Mailing Address - Street 1:8950 PROFESSIONAL DR
Mailing Address - Street 2:APT. 8-15
Mailing Address - City:CADILLAC
Mailing Address - State:MI
Mailing Address - Zip Code:49601-8599
Mailing Address - Country:US
Mailing Address - Phone:313-310-3904
Mailing Address - Fax:
Practice Address - Street 1:8950 PROFESSIONAL DR
Practice Address - Street 2:
Practice Address - City:CADILLAC
Practice Address - State:MI
Practice Address - Zip Code:49601-8599
Practice Address - Country:US
Practice Address - Phone:231-775-2493
Practice Address - Fax:231-779-7701
Is Sole Proprietor?:No
Enumeration Date:2011-05-04
Last Update Date:2025-03-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI5601005980363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant