Individual
RYAN SMOTHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8135 CALUMET AVE, MUNSTER, IN 46321-1701
(219) 513-2000
Mailing address
901 HAYES ST, CROWN POINT, IN 46307-5017
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F10250667
IN
Other
Enumeration date
10/22/2025
Last updated
10/22/2025
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