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Individual

MICHAEL RYSKIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1010 W 2ND ST, BLOOMINGTON, IN 47403-2217
(812) 334-3955
(812) 334-5792
Mailing address
PO BOX 1329, BLOOMINGTON, IN 47402-1329
(812) 353-9816
(812) 334-5792

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
01070038A
IN
207V00000X
Obstetrics & Gynecology Physician
Primary
34.0138679
OH
207V00000X
Obstetrics & Gynecology Physician
43490
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201033060
IN
Enumeration date
03/22/2006
Last updated
12/23/2020
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