Organization
ADVANCED RETINA S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN VOGEL MD (PRESIDENT)
(414) 573-5946
Entity
Organization
Contact information
Practice address
4131 W LOOMIS RD STE 240, GREENFIELD, WI 53221-2072
(262) 510-0300
(262) 510-0500
Mailing address
4131 W LOOMIS RD STE 240, GREENFIELD, WI 53221-2072
(262) 510-0300
(262) 510-0500
Taxonomy
Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
—
—
Other
Enumeration date
12/31/2021
Last updated
01/05/2025
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