Healthcare Provider Details

I. General information

NPI: 1336059344
Provider Name (Legal Business Name): RYAN WAYNE RAGSDALE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2213 CHERRY ST
TOLEDO OH
43608-2603
US

IV. Provider business mailing address

4736 OVERLAND PKWY APT 104
TOLEDO OH
43612-2728
US

V. Phone/Fax

Practice location:
  • Phone: 419-251-3232
  • Fax: 419-251-6795
Mailing address:
  • Phone: 618-841-9133
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: