Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ryan Wall-O'Mara

Individual provider Perfusionist · NPI 1033822671

Ryan Wall-O'Mara is a Perfusionist in Plymouth, Michigan. Licensed in Nevada. Registered with an NPI since 2022.

Licensed in
NV
In the registry since
2022

Practice location Address checks out

45211 Helm St
Plymouth, MI 48170-6023
Phone: (734) 525-9712
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Perfusionist (primary) Taxonomy 242T00000X · Licence LP002 (NV)

Record details

NPI number1033822671
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 28, 2022
Last updated in NPPESDecember 28, 2022
Certification dateDecember 28, 2022
Mailing address45211 Helm St, Plymouth, MI 48170-6023

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