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Individual

RYAN STANLEY OOSTHUYSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
92 W MILLER ST, ORLANDO, FL 32806-2032
(321) 841-4607
(321) 841-4603
Mailing address
92 W MILLER ST, ORLANDO, FL 32806-2032
(321) 841-4607
(321) 841-4603

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
DR.0059459
CO
207LP3000X
Pediatric Anesthesiology Physician
Primary
ME142353
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
104087700
FL
Enumeration date
06/17/2013
Last updated
12/26/2019
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