Individual
THOMAS JOSEPH RYAN IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 10TH ST SE, CEDAR RAPIDS, IA 52403-1251
(319) 398-6037
Mailing address
701 10TH ST SE, CEDAR RAPIDS, IA 52403-1251
(319) 398-6037
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
4351046005
MI
207P00000X
Emergency Medicine Physician
Primary
MD-51027
IA
Other
Enumeration date
04/13/2020
Last updated
06/30/2023
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