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Individual
MR. RYAN PATRICK SCHWIESOW
Active
Individual
MR. RYAN PATRICK SCHWIESOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
06247
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0197889
—
IA
01
—
02757
BCBS
IA
01
—
7601240
SD MEDICAID
SD
Enumeration date
01/26/2006
Last updated
06/02/2011
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