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Organization
ST ALPHONSUS PROFESSIONAL MEDICAL SERVICES LLC
Active
Organization
ST ALPHONSUS PROFESSIONAL MEDICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC C. RYSENGA M.D. (PATHOLOGIST)
(541) 881-7287
Entity
Organization
Contact information
Practice address
351 SW NINTH STREET, ONTARIO, OR 97914-2639
(541) 881-5331
Mailing address
PO BOX 357, COLCHESTER, IL 62326
(208) 472-8185
(208) 472-8172
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
11/28/2021
Last updated
06/16/2025
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