Individual
MR. RYAN M. CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1933 OHIO DRIVE, GROVE CITY, OH 43123-4835
(614) 277-9530
(614) 277-2227
Mailing address
5720 BLAZER PARKWAY, DUBLIN, OH 43017-3566
(614) 761-1151
(614) 761-4893
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
34.009281
OH
207N00000X
Dermatology Physician
5101016570
MI
207NS0135X
Procedural Dermatology Physician
34.009281
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2851301
—
OH
Enumeration date
04/10/2007
Last updated
03/04/2015
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