Individual
STEPHEN THOMAS RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 BRICKHILL AVE, SOUTH PORTLAND, ME 04106-1999
(207) 773-1728
(207) 773-8153
Mailing address
100 BRICKHILL AVE, SOUTH PORTLAND, ME 04106-1999
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD23077
ME
Other
Enumeration date
06/12/2012
Last updated
07/25/2019
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