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Individual

RYAN WILLIS LINDEMANN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
207 GEORGE ST APT 534, MIDDLETOWN, CT 06457-6703
(940) 867-0959
Mailing address
207 GEORGE ST APT 534, MIDDLETOWN, CT 06457-6703
(940) 867-0959

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
092460
CT
163W00000X
Registered Nurse
732793
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
5223
CT

Other

Enumeration date
10/17/2012
Last updated
11/15/2012
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