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Individual

JAMES JOS RYBAK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
18697 BAGLEY RD, MIDDLEBURG HEIGHTS, OH 44130-3417
(440) 816-8000
Mailing address
3878 N VALLEY DR, FAIRVIEW PARK, OH 44126-1770

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35031042
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0478540
OH
01
930007747
MEDICARE RR-GA
OH
01
942460636217
CARESOURCE
OH
Enumeration date
06/08/2006
Last updated
06/24/2008
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