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Individual

RYAN K NOWAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1309 W 17TH ST, SIOUX FALLS, SD 57104-4663
(605) 328-6001
(605) 328-6045
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585
(605) 328-6512

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
9128
SD
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
06/05/2008
Last updated
08/26/2014
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