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Individual

MR. RYAN EDWARD BELOUNGY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
331 E PRAIRIE VIEW RD, CHIPPEWA FALLS, WI 54729-3463
(715) 726-9077
Mailing address
203 E MAPLE ST, THORP, WI 54771-9224
(608) 358-1932

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3081-035
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
38632700
WI
Enumeration date
07/04/2007
Last updated
06/24/2008
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