Individual
DR. RYAN PATRICK BREDEWEG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1304 FAWCETT AVE STE 100, TACOMA, WA 98402-1900
(253) 761-4200
Mailing address
1304 FAWCETT AVE STE 100, TACOMA, WA 98402-1900
(253) 761-4200
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
MD60149277
WA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
MD60149277
WA
390200000X
Student in an Organized Health Care Education/Training Program
4301088522
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G8913070
PTAN
WA
01
—
G8913071
PTAN
WA
01
—
G8913072
PTAN
WA
01
—
G8913073
PTAN
WA
01
—
G8913074
PTAN
WA
01
—
G8913075
PTAN
WA
Enumeration date
05/08/2007
Last updated
08/29/2024
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