Individual
RYAN ENGDAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
268129
NY
282N00000X
General Acute Care Hospital
—
—
Other
Enumeration date
06/14/2007
Last updated
08/05/2018
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