Individual
RYAN LYNN MUSOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
395 W 12TH AVE, COLUMBUS, OH 43210-1267
(517) 202-1915
Mailing address
395 W 12TH AVE, COLUMBUS, OH 43210-1267
(614) 685-0759
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
5151014546
MI
2085R0204X
Vascular & Interventional Radiology Physician
Primary
34.017090
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2019
Last updated
06/20/2024
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