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Individual

RYAN S MCCLENDON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1000 LINCOLN CIR SE, ORANGE CITY, IA 51041
(712) 737-5225
Mailing address
1015 E IOWA ST, PRAIRIE DU CHIEN, WI 53821-1812
(573) 275-7310

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
209007110
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
4033-33
WI
367500000X
Certified Registered Nurse Anesthetist
D140467
IA

Other

Enumeration date
09/26/2008
Last updated
09/13/2023
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