Organization
RYAN ELLWEIN OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN ELLWEIN (OWNER)
(605) 271-9060
Entity
Organization
Contact information
Practice address
3501 W 41ST ST, STE 110 B, SIOUX FALLS, SD 57106-0709
(605) 271-9060
(605) 271-9062
Mailing address
3501 W 41ST ST, STE 110 B, SIOUX FALLS, SD 57106-0709
(605) 271-9060
(605) 271-9062
Taxonomy
Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
595
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9203364
—
SD
Enumeration date
02/23/2010
Last updated
02/23/2010
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