Individual
RYLEE MORGAN NORTHEIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2500 W STRUB RD STE 350, SANDUSKY, OH 44870-5488
(419) 502-3376
(419) 502-3377
Mailing address
2500 W STRUB RD STE 350, SANDUSKY, OH 44870-5488
(419) 502-3376
(419) 502-3377
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
50.007620RX
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/20/2020
Last updated
03/27/2024
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