institution
Ryan S. Diederich, Md Pc
Plastic and Reconstructive Surgery Physician in Glen Carbon, Illinois
NPI 1639817182

Ryan S. Diederich, Md Pc is a Plastic and Reconstructive Surgery Physician based in Glen Carbon, IL and is specialized in Plastic and Reconstructive Surgery. Ryan S. Diederich, Md Pc practices in Glen Carbon, IL. The NPI Number for Ryan S. Diederich, Md Pc is 1639817182 and holds a License No. (Illinois).

The current practice location address for Ryan S. Diederich, Md Pc is 4955 S State Route 159 # 1, Glen Carbon, IL and can be reached out via phone at 618-288-7855 and via fax at 618-288-7866.

Location: 4955 S State Route 159 # 1, Glen Carbon, IL, 62034-1907
institution
Provider Profile Details
NPI Number
1639817182
Provider Name
Ryan S. Diederich, Md Pc
Credential
Provider Entity Type
Organization
Address
4955 S State Route 159 # 1, Glen Carbon, IL, 62034-1907
Phone Number
618-288-7855
Fax Number
618-288-7866
Provider Enumeration Date
05/24/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
4955 S State Route 159 # 1
City
State
Zip
62034-1907
Phone Number
618-288-7855
Fax Number
618-288-7866
person
Provider Business Mailing Address Details
Address
4955 S State Route 159 # 1
City
State
Zip
62034-1907
Phone Number
618-288-7855
Fax Number
618-288-7866
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
License No.
()
Definition
A surgeon who specializes in plastic and reconstructive surgery.
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