Individual
MADELINE LOUISE RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11595 N MERIDIAN ST STE 402, CARMEL, IN 46032-6947
(317) 706-7246
(317) 706-3417
Mailing address
29943 NETWORK PL, CHICAGO, IL 60673-1299
(317) 706-3415
(317) 706-3417
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
100024888A
IN
363AS0400X
Surgical Physician Assistant
10002488A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300016572
—
IN
Enumeration date
07/23/2018
Last updated
11/27/2025
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