Individual
RYAN S WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1300 N. MAIN STREET, RUSHVILLE, IN 46173
(765) 932-4111
(765) 932-7433
Mailing address
935 GRAYSON TRAIL, BROWNSBURG, IN 46112
(317) 989-7748
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11013867A
IN
Other
Enumeration date
06/20/2007
Last updated
03/29/2011
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