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Individual

RYAN D DEHAAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5440 SOUTH ST STE 200, LINCOLN, NE 68506-2116
(402) 465-1900
(402) 465-1940
Mailing address
5440 SOUTH ST STE 200, LINCOLN, NE 68506-2116
(402) 465-1900
(402) 465-1940

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
24093
NE
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
45701
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110164100
MN
Enumeration date
12/21/2005
Last updated
01/17/2023
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