Ryan Klanseck, DO

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

RYAN KLANSECK, DO

Practice address

16986 Robbins Rd Ste 140
Grand Haven, MI 49417-2795

Phone

(616) 229-3295

NPI assigned

Feb 6, 2019

Last updated

Feb 6, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sandra Muskegon

Title

Director of Membership & PMS

Phone

(616) 213-0253

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1549411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549411200000",
    "number": "1447715131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16986 ROBBINS RD STE 140",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494172795",
            "telephone_number": "616-229-3295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16986 ROBBINS RD STE 140",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494172795",
            "telephone_number": "616-229-3295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN KLANSECK, DO",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-06",
        "last_updated": "2019-02-06",
        "status": "A",
        "authorized_official_last_name": "MUSKEGON",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "DIRECTOR OF MEMBERSHIP & PMS",
        "authorized_official_telephone_number": "616-213-0253"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medical Specialty Clinic/Center in Grand Haven, MI
• Providers in Grand Haven, MI by specialty
• Medical Specialty Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.