Individual
RYAN J PLANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 E 109TH AVE, CROWN POINT, IN 46307-7294
(219) 921-1444
Mailing address
601 GATEWAY BLVD N, CHESTERTON, IN 46304-9658
(219) 921-1444
(219) 921-0533
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
01059354A
IN
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
01059354A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201033540
—
IN
Enumeration date
08/12/2006
Last updated
12/17/2024
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