Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ryan Glen Goleniak

Individual provider Internal Medicine Physician · NPI 1912587981

Ryan Glen Goleniak is an Internal Medicine in Detroit, Michigan. Graduated from Michigan State University College of Osteopathic Medicine in 2021, 5 years ago. Practices with Upper Great Lakes Family Health Center, a 42-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
5
Trained at
Michigan State University College of Osteopathic Medicine
Licensed in
MI
In the registry since
2021
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Practice location Address checks out

2799 W Grand Blvd
Detroit, MI 48202-2689
Phone: (313) 916-1601
Fax: (313) 916-2018
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 135 E M35, Gwinn, MI 49841-9160 — (906) 346-9275

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 5101028998 (MI)

Record details

NPI number1912587981
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 13, 2021
Last updated in NPPESFebruary 25, 2026
Certification dateFebruary 25, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2021 (5 years in practice)
Group practice Upper Great Lakes Family Health Center — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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