Individual
DR. RYAN WESLEY LONGSTRETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1320 W MAIN ST, NEWARK, OH 43055
(220) 564-4151
(220) 564-7153
Mailing address
1320 W MAIN ST, NEWARK, OH 43055
(220) 564-4151
(220) 564-7153
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
35082461
OH
207P00000X
Emergency Medicine Physician
Primary
35082461-L
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2407318
—
OH
Enumeration date
06/07/2006
Last updated
03/24/2023
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