Organization
RYAN ROLF MD LLC
Active
Organization
RYAN ROLF MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN C ROLF MD (PRESIDENT)
(260) 633-1950
Entity
Organization
Contact information
Practice address
129 OSPREY PASS, HUNTERTOWN, IN 46748-9231
(260) 633-1950
Mailing address
129 OSPREY PASS, HUNTERTOWN, IN 46748-9231
(260) 633-1950
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01057615A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201277720 A
—
IN
Enumeration date
12/16/2014
Last updated
06/21/2016
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