RYAN S. DIEDERICH, MD PC is a plastic and reconstructive surgery surgery in Glen Carbon, IL. The provider is a surgeon who specializes in plastic and reconstructive surgery. RYAN S. DIEDERICH, MD PC NPI is 1639817182. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
4955 S STATE ROUTE 159 # 1
GLEN CARBON, IL
ZIP 62034-907
Phone: (618) 288-7855
Fax: (618) 288-7866
The provider's authorized official is Ryan S Diederich .
The authorized official title is Owner and has the following contact phone number (618) 288-7855.
The enumeration date for this NPI number is 5/24/2022 and was last updated on 5/24/2022.