Individual
DR. RYAN BRUCE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1750 W HARRISON ST STE 739, CHICAGO, IL 60612-3825
(312) 942-3134
Mailing address
19400 MC KINLEY CT, SHOREWOOD, MN 55331-8119
(651) 328-3717
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
125.081706
IL
Other
Enumeration date
05/17/2023
Last updated
05/22/2023
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