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Individual

SHAWN RYAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
446 MORGAN ST, CINCINNATI, OH 45206
(138) 347-0635
(513) 873-1567
Mailing address
446 MORGAN ST, CINCINNATI, OH 45206-2348
(513) 834-7063
(513) 873-1567

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
35093747
OH
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
35.093747
OH
207RA0401X
Addiction Medicine (Internal Medicine) Physician
43226
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2993944
OH
05
7100112350
KY
Enumeration date
05/30/2007
Last updated
03/05/2021
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