Individual
STEPHEN KARL RERYCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2520 VALLEY DR, PT PLEASANT, WV 25550-2031
(304) 675-1666
(304) 675-2944
Mailing address
PO BOX 236, PT PLEASANT, WV 25550-0236
(304) 675-1666
(304) 675-5893
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
22335
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2659896
—
OH
05
—
3810005477
—
WV
Enumeration date
05/24/2006
Last updated
01/27/2010
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