RYAN I DEWEESE

LAFAYETTE, IN
NPI1164692216
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208M00000X Hospitalist
(Licence: IN  01065233A)
Additional Taxonomies207Q00000X Family Medicine
(Licence: IN  01065233A)
Enumeration Date2008-03-05
Last Update Date2021-01-25
Business Address
RYAN I DEWEESE
2600 FERRY ST
LAFAYETTE, IN 47904-3055
Phone number: 765-448-8000
Mailing Address
RYAN I DEWEESE
250 N SHADELAND AVE
INDIANAPOLIS, IN 46219-4959
Phone number: