Individual
RYAN BRAND GIENAPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
199627
OR
207R00000X
Internal Medicine Physician
Primary
DO217191
OR
Other
Enumeration date
04/14/2020
Last updated
09/19/2023
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