Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RYAN S. DIEDERICH, MD PC
Active OrganizationRYAN S. DIEDERICH, MD PC is a Plastic and Reconstructive Surgery organization located in GLEN CARBON, Illinois. NPI 1639817182 is currently active in the NPPES registry. Verify at CMS.
Plastic and Reconstructive Surgery · GLEN CARBON, IL
Registration Details
- NPI Number
- 1639817182
- Provider Type
- Organization
- NPI Issued
- May 24, 2022 (4.2435077263603 yrs)
- Last Updated
- May 24, 2022
Practice Information
- Address
-
4955 S STATE ROUTE 159 # 1GLEN CARBON, IL, 620341907Browse IL providers · Browse ZIP 62034
- Phone
- 6182887855
- Fax
- 6182887866
- Primary Specialty
-
Plastic and Reconstructive Surgery
2086S0122X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.