Individual
DR. RYAN JAMES O'ROURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1815 E IRELAND RD, SOUTH BEND, IN 46614-2845
(574) 647-1700
(574) 647-7572
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
(574) 647-1840
(702) 734-4900
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
01087518A
IN
207X00000X
Orthopaedic Surgery Physician
125.068130
IL
207X00000X
Orthopaedic Surgery Physician
4301510024
MI
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
20262
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801244827
—
MI
05
—
300067352
—
IN
Enumeration date
05/31/2016
Last updated
08/29/2025
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