Individual
RYAN WAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
619 19TH ST S, BIRMINGHAM, AL 35233-1900
(205) 934-4011
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
H93359
MD
2086S0127X
Trauma Surgery Physician
Primary
3365
AL
Other
Enumeration date
02/22/2016
Last updated
10/12/2023
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