Individual
RYAN JOSEPH WASILCHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
320 E NORTH AVE, PITTSBURGH, PA 15212-4772
(412) 330-4242
Mailing address
320 E NORTH AVE, PITTSBURGH, PA 15212-4772
(412) 330-4242
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
OS021821
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
29462883
—
PA
Enumeration date
04/01/2019
Last updated
10/17/2023
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