Individual
RYAN ROBERT MAENPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1975 MIAMISBURG CENTERVILLE RD, CENTERVILLE FINANCE, OH 45459-3811
(937) 298-5536
(937) 298-5596
Mailing address
1975 MIAMISBURG CENTERVILLE RD, CENTERVILLE, OH 45459-3811
(937) 439-6186
(937) 439-9900
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
35-08-8161-M
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2666806
—
OH
Enumeration date
01/03/2006
Last updated
07/03/2024
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