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NPI Code Detail

MEDICARE: DR. RYAN WESLEY SCHMUCKER M.D.

MEDICARE: DR. RYAN WESLEY SCHMUCKER M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12086S0122XPlastic and Reconstructive Surgery Physician125061621IL
22082S0105XSurgery of the Hand (Plastic Surgery) Physician35.137104OH

General Provider Information

NPI Number : 1154685022
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RYAN WESLEY SCHMUCKER M.D.
Provider Business Mailing Address
First Line : 700 ACKERMAN RD STE 2120
Second Line :
City : COLUMBUS
State : OH
Zip : 43202-1559
Country : US
Telephone Number : 614-366-0131
Fax Number : 614-366-0131
Provider Business Practice Location Address
First Line : 915 OLENTANGY RIVER RD STE 3200
Second Line :
City : COLUMBUS
State : OH
Zip : 43212-3167
Country : US
Telephone Number : 614-366-4263
Fax Number : 614-366-0131
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2012
Last Update Date : 10/09/2019

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