Individual
SARAH RYTERBAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
820 W 2ND ST, BLOOMINGTON, IN 47403-2213
(812) 333-9139
Mailing address
820 W 2ND ST, BLOOMINGTON, IN 47403-2213
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
01043922A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01043922A
MEDICAL LICENSE
IN
Enumeration date
12/20/2022
Last updated
12/20/2022
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