Individual
RYAN JOSEPH BOHLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11104 PARKVIEW CIRCLE DR STE 410, FORT WAYNE, IN 46845
(260) 266-5260
(260) 266-5279
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD15516
RI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
01079575A
IN
207RP1001X
Pulmonary Disease Physician
Primary
01079575A
IN
207RP1001X
Pulmonary Disease Physician
MD15516
RI
Other
Enumeration date
04/12/2012
Last updated
10/11/2022
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