Ravenna Medical Clinic PC

NPI #1851812721 in Ravenna, Nebraska

Provider Information

NPI Number
1851812721
Entity Type
Organization
Organization Name
Ravenna Medical Clinic PC
Primary Specialty
Clinic/Center - Rural Health
Enumeration Date
Jun 30, 2017
Last Updated
Jul 14, 2017

Practice Location

Address
104 W SENECA ST
ZIP Code
68869
Phone
(308) 452-3203

Authorized Official

Name
RYAN LIESKE, PA-C
Title
PHYSICIAN ASSISTANT/OWNER
Phone
(308) 452-3203

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Rural HealthRural Health

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