Individual
DR. MARTIN T RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5354 N HIGH ST, FIRST FLOOR, COLUMBUS, OH 43214-1295
(740) 803-4332
(888) 210-4572
Mailing address
95 ELIZABETH ST, SUITE 108, DELAWARE, OH 43015-2358
(740) 369-0020
(888) 210-4572
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35065539
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000370173
ANTHEM
OH
Enumeration date
06/27/2006
Last updated
07/08/2007
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