Individual
DR. RYAN R. SORRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
416 E MONROE ST, SUITE 200, SOUTH BEND, IN 46601-2371
(574) 232-8119
(574) 288-0235
Mailing address
416 E MONROE ST, SUITE 200, SOUTH BEND, IN 46601-2371
(574) 232-8119
(574) 288-0235
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01064982
IN
Other
Enumeration date
08/18/2008
Last updated
05/11/2009
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