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Individual

MICHAEL G RYAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ANP

Contact information

Practice address
5000 W NATIONAL AVE, MILWAUKEE, WI 53295-0001
(414) 384-2000
Mailing address
1239 WILLIAMS DR, MUKWONAGO, WI 53149-9537

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F303185
NY

Other

Enumeration date
08/15/2005
Last updated
07/08/2007
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