Individual
DAVID E VANRYN
Active
Individual
DAVID E VANRYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
01030678
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000082215
ANTHEM
IN
01
—
010029959
RAIL ROAD MEDICARE
IN
05
—
100146200
—
IN
05
—
102668949
—
MI
Enumeration date
03/08/2006
Last updated
04/05/2016
Update your record
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