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DR. RYAN MICHAEL PHELPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
580 INDIAN BOUNDARY RD, CHESTERTON, IN 46304-1515
(219) 395-8583
Mailing address
1668 GLASGOW ST, VALPARAISO, IN 46385-7363
(219) 242-8373

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26022420A
IN

Other

Enumeration date
08/26/2011
Last updated
08/26/2011
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