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Individual

DR. RYAN CONWAY WASSENAAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
990 OAK RIDGE TPKE, OAK RIDGE, TN 37830-6976
(865) 835-4304
(865) 835-4303
Mailing address
119 HERITAGE DR, OAK RIDGE, TN 37830-7965
(865) 804-1902

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
007164
AZ
208M00000X
Hospitalist Physician
Primary
2067
TN

Other

Enumeration date
07/21/2008
Last updated
08/29/2023
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