Individual
STEPHEN A RYNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1111 MEDICAL CENTER BLVD., SUITE S750, MARRERO, LA 70072
(504) 340-6976
(504) 349-6786
Mailing address
1111 MEDICAL CENTER BLVD., SUITE S750, MARRERO, LA 70072
(504) 340-6976
(504) 349-6786
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
018522
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1363359
—
LA
Enumeration date
06/20/2006
Last updated
11/07/2012
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