Individual
DR. RYAN WALDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
303 LIGHTS HALL, NASHVILLE, TN 37232-0001
(615) 322-7061
Mailing address
610 SYLVAN HEIGHTS WAY APT 247, NASHVILLE, TN 37209-4986
(314) 363-7358
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
73131
TN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
L.5579R
AL
390200000X
Student in an Organized Health Care Education/Training Program
L.5579R
AL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/09/2020
Last updated
06/11/2025
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