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Individual
DR. RYAN MARC SHADIS
Active
Individual
DR. RYAN MARC SHADIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD441695
PA
208600000X
Surgery Physician
MT188082
PA
2086S0102X
Surgical Critical Care Physician
Primary
MD441695
PA
2086S0102X
Surgical Critical Care Physician
ME114014
FL
Other
Enumeration date
06/13/2008
Last updated
08/21/2013
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