Individual
RYAN JAMES VAN DONSELAAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1000 E MAIN ST, DANVILLE, IN 46122-1948
(317) 745-4451
(317) 718-6740
Mailing address
1100 SOUTHFIELD DR, SUITE 1370, PLAINFIELD, IN 46168-4498
(317) 837-5571
(317) 837-5580
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
020039168A
IN
208M00000X
Hospitalist Physician
Primary
02003916A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201071070
—
IN
Enumeration date
04/13/2009
Last updated
05/07/2024
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