Dr RYAN JOEL LIESKE PA is a male medical professional, specializing in Physician Assistant. He graduated in 1997.
RAVENNA MEDICAL CLINIC PC
104 W SENECA ST
RAVENNA
NE
688691363
Tel: 3084523203
| Npi | 1821040536 |
| Pac Id | 3678463320 |
| Professional Enrollment Id | I20040317000867 |
| Last Name | LIESKE |
| First Name | RYAN |
| Middle Name | JOEL |
| Suffix | |
| Gender | M |
| Credential | PA |
| Medical School Name | OTHER |
| Graduation Year | 1997 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | RAVENNA MEDICAL CLINIC PC |
| Group Practice Pac Id | 0547536047 |
| Number Of Group Practice Members | 2 |
| Line 1 Street Address | 104 W SENECA ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | RAVENNA |
| State | NE |
| Zip Code | 688691363 |
| Phone Number | 3084523203 |
| Hospital Affiliation Ccn 1 | 280061 |
| Hospital Affiliation Lbn 1 | REGIONAL WEST MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 280009 |
| Hospital Affiliation Lbn 2 | CHI HEALTH GOOD SAMARITAN |
| Hospital Affiliation Ccn 3 | 280134 |
| Hospital Affiliation Lbn 3 | KEARNEY REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 4 | 280023 |
| Hospital Affiliation Lbn 4 | CHI HEALTH ST. FRANCIS |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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