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1356344972
RYAN D. MATHERLY
ELKHART, IN
NPI
1356344972
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IN 01027540A)
Enumeration Date
2005-05-27
Last Update Date
2010-10-19
Business Address
Dr. RYAN D. MATHERLY M.D.
2115 W LEXINGTON AVE
ELKHART, IN 46514-1423
Phone number: 574-296-3955
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Mailing Address
Dr. RYAN D. MATHERLY M.D.
PO BOX 2968
ELKHART, IN 46515-2968
Phone number: 574-296-3955
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