RYAN KLANSECK, DO


Address: 16986 Robbins Rd Ste 140, Grand Haven, MI 49417-2795
Phone: 6162293295

RYAN KLANSECK, DO (NPI# 1447715131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447715131
Entity Type Organization
Organization Name RYAN KLANSECK, DO
Practice Address 16986 Robbins Rd Ste 140
Grand Haven
MI 49417-2795
Practice Telephone 6162293295
Mailing Telephone 6162293295
Enumeration Date 2019-02-06
Last Update Date 2019-02-06
Authorized Official Name SANDRA MUSKEGON (DIRECTOR OF MEMBERSHIP & PMS)
Authorized Official Telephone 6162130253
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM2500X Clinic/Center
Specialization: Medical Specialty
Ambulatory Health Care Facilities

Office Location

Street Address 16986 ROBBINS RD STE 140
City GRAND HAVEN
State MI
Zip Code 49417-2795

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NPI Name Taxonomy Address Enumeration
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1558857466 Christina Steege Physical Therapist 514 Friant St, Grand Haven, MI 49417 2018-07-03
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1982057907 Jeremyn Duane Wiersma Counselor 1703 S. Despelder St., Grand Haven, MI 49417 2016-07-14
1760855225 Lisa Costello Dental Hygienist 326 N. Ferry St, Grand Haven, MI 49417 2015-11-05
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1508120122 Jonathan Stewart Rouwhorst Family Medicine 15161 Willowwood Ct, Grand Haven, MI 49417 2012-06-28
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Taxonomy Information

Taxonomy Code 261QM2500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Medical Specialty

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Notes: [7/1/2003: new]

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1265081418 Cherry Street Services Inc Clinic/Center 2125 Wrenwood St Sw Ofc Therapist, Wyoming, MI 49519-2362 2019-09-10
1023662079 J & D Vision Inc Clinic/Center 41821 Garfield Rd, Clinton Twp, MI 48038-1965 2019-07-29
1649839945 Michigan Institute of Sleep Disorders Pllc Clinic/Center 7108 Autumn Hill Dr, West Bloomfield, MI 48323-3904 2019-06-10
1598242455 Gratiot Advanced Center LLC Clinic/Center 7612 Gratiot Ave Ste 200, Detroit, MI 48213-2822 2018-07-24
1902356140 Midmichigan Pain Clinic/Center 2305 Hawthorn Dr, Suite B, Mt Pleasant, MI 48858-1202 2016-10-12
1184085516 Hester S Pernell Md Pllc Clinic/Center 24628 Ridgeview Dr, Farmington Hills, MI 48336-1905 2016-03-12
1275937625 Innovative Anesthesia Services PC Clinic/Center 847 Parchment Dr Se Ste 105, Grand Rapids, MI 49546 2014-10-14
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Competitor

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City GRAND HAVEN
Zip Code 49417

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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