Individual
DR. RYAN MATTHEW MAJCINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
415 N 9TH ST, SUITE 4W16, SPRINGFIELD, IL 62702-5303
(217) 545-8000
(217) 757-6654
Mailing address
PO BOX 19676, SPRINGFIELD, IL 62794-9676
(217) 545-8000
(217) 757-6654
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
D68804
MD
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
036-135564
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
417470400
—
MD
Enumeration date
01/10/2007
Last updated
11/05/2014
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