Individual
DR. RYAN D CROUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3563 PRAIRIEVIEW ST STE 200, GRAND ISLAND, NE 68803-4442
(308) 382-2010
(308) 382-9549
Mailing address
3563 PRAIRIEVIEW ST STE 200, GRAND ISLAND, NE 68803-4442
(308) 382-2010
(308) 382-9549
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
118
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110134137
MEDICARE PIN RAILROAD
NE
05
—
47071903802
—
NE
Enumeration date
06/06/2006
Last updated
10/14/2021
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