Individual
RYAN LUCAS WAGENSCHUTZ
Active
Individual
RYAN LUCAS WAGENSCHUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.407842
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
4704306963
MI
Other
Enumeration date
08/01/2023
Last updated
07/08/2025
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