Dr. Ryan Conway Wassenaar, D.O.
Hospitalist in Oak Ridge, TN. Individual provider (NPI-1).
NPI number1457516288
StatusActive
Last updated in NPPESAug 29, 2023
Details
- NPI
- 1457516288
- Entity type
- Individual (NPI-1)
- Name
- Dr. Ryan Conway Wassenaar
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 21, 2008
- Certification date
- Aug 29, 2023
- Last updated
- Aug 29, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208M00000X | Hospitalist | 2067 | TN | Yes |
| 207R00000X | Internal Medicine | 007164 | AZ |
Practice location
990 Oak Ridge TpkeOak Ridge, TN 37830-6976
Phone 865-835-4304 · Fax 865-835-4303
Mailing address
119 Heritage DrOak Ridge, TN 37830-7965
Phone 865-804-1902
Other practice locations
5880 S Hospital Dr
Globe, AZ 85501-9447
Globe, AZ 85501-9447
Phone 928-425-3261 · Fax 866-368-6349
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