Individual
DR. RYAN D. ENCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
615 N MICHIGAN ST 1ST FL HOSPITALIST STE, SOUTH BEND, IN 46601
(574) 647-3050
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01082054A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201371330
—
IN
Enumeration date
06/09/2016
Last updated
04/28/2023
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