Individual
RYAN CISEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
A.T.C.
Contact information
Practice address
2900 S HANOVER ST, BALTIMORE, MD 21225-1232
(410) 350-8336
Mailing address
2900 S HANOVER ST, BALTIMORE, MD 21225-1232
(410) 350-8336
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A0000033
MD
Other
Enumeration date
04/01/2014
Last updated
04/01/2014
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