Individual
DR. STEPHEN M. RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 N. 1ST STREET, SPRINGFIELD, IL 62702
(217) 528-7541
Mailing address
1025 S 6TH ST, SPRINGFIELD, IL 62703-2403
(217) 528-7541
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
036-095308
IL
Other
Enumeration date
10/02/2006
Last updated
05/20/2020
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