Ryan Diederich, MD

NPI #1942422498 in Glen Carbon, Illinois

Provider Information

NPI Number: 1942422498
Entity Type: Individual
Name: Ryan Diederich, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Surgery - Plastic and Reconstructive Surgery
Credential: MD
Enumeration Date: May 3, 2007
Last Updated: Aug 21, 2024

Practice Location

Address: 4955 S STATE ROUTE 159 STE 1
City: Glen Carbon
State: Illinois
ZIP Code: 62034-1907
Phone: (618) 288-7855

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery - Plastic and Reconstructive Surgery — Plastic and Reconstructive Surgery	2086S0122X	Primary

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Organizations

Provider Name	Specialty	City
Ryan S. Diederich, MD PC	Surgery - Plastic and Reconstructive Surgery	Glen Carbon	AI Deep Dive

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