Individual
DR. RYAN JONATHAN WEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 BICENTENNIAL WAY, SANTA ROSA, CA 95403-2149
(909) 896-8553
Mailing address
401 BICENTENNIAL WAY, SANTA ROSA, CA 95403-2149
(909) 896-8553
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
A-176741
CA
207QS0010X
Sports Medicine (Family Medicine) Physician
A-176741
CA
Other
Enumeration date
05/14/2019
Last updated
10/29/2024
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