Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2082S0105X | Plastic Hand Surgeon | 35.137104 | OH |
N | 2086S0122X | Plastic and Reconstructive Surgery | 125061621 | IL |
NPI | 1154685022 |
---|---|
Provider Name | Dr. Ryan Wesley Schmucker |
First Address | Columbus, OH 43202-1559 |
Second Address | Columbus, OH 43212-3167 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2012 |
Last Update Date | 09/10/2019 |