Individual
MICAH J RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14080 BOYS TOWN HOSPITAL RD, BOYS TOWN, NE 68010-7513
(402) 778-6900
(402) 778-6917
Mailing address
555 N 30TH ST, OMAHA, NE 68131-2136
(402) 280-8100
(402) 280-8103
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
27825
NE
208000000X
Pediatrics Physician
6547
NE
Other
Enumeration date
06/18/2011
Last updated
07/21/2014
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