Individual
BRENT JOSEPH RYSEWYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2538
(910) 450-1323
Mailing address
100 AIRPORT ROAD, LENOIR MEMORIAL HOSPITAL, KINSTON, NC 28501
(252) 522-7954
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/02/2008
Last updated
07/14/2017
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