Provider Demographics
NPI:1871501437
Name:RYZENMAN, JOHN M (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:M
Last Name:RYZENMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 237
Mailing Address - Street 2:
Mailing Address - City:NEW ALBANY
Mailing Address - State:OH
Mailing Address - Zip Code:43054-0237
Mailing Address - Country:US
Mailing Address - Phone:614-839-9173
Mailing Address - Fax:614-839-9174
Practice Address - Street 1:387 COUNTY LINE RD W
Practice Address - Street 2:SUITE 115
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43082-6080
Practice Address - Country:US
Practice Address - Phone:614-891-9190
Practice Address - Fax:614-839-9174
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-03
Last Update Date:2011-08-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35-088358207YX0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0901XAllopathic & Osteopathic PhysiciansOtolaryngologyOtology & Neurotology