Individual
NICHOLAS RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1200 PLEASANT ST, DES MOINES, IA 50309-1406
(515) 241-5437
Mailing address
1200 PLEASANT ST, DES MOINES, IA 50309-1406
(515) 241-5437
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
60570
MN
208M00000X
Hospitalist Physician
Primary
DO-06078
IA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/24/2014
Last updated
02/24/2023
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