RYAN NIEHAUS

BLOOMINGTON, IN
NPI1235396045
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207QS0010X Family Medicine, Sports Medicine
(Licence: IN  02004042A)
Enumeration Date2008-05-20
Last Update Date2020-12-18
Business Address
RYAN NIEHAUS D.O.
995 S CLARIZZ BLVD
BLOOMINGTON, IN 47401-5588
Phone number: 812-353-3060
Mailing Address
RYAN NIEHAUS D.O.
PO BOX 1329
BLOOMINGTON, IN 47402-1329
Phone number: 812-353-3087
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