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Individual

JOHN JAMES RYAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1310 W 22ND ST, SIOUX FALLS, SD 57105-1501
(605) 328-8100
(605) 328-8101
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-9556
(605) 328-9501

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
3453
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7300052
SD
Enumeration date
06/24/2005
Last updated
06/08/2016
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