Individual
RYAN GRECO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1643 MACKINAC AVE, SOUTH MILWAUKEE, WI 53172-2905
(414) 745-8170
Mailing address
1643 MACKINAC AVE, SOUTH MILWAUKEE, WI 53172-2905
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
141590-30
WI
Other
Enumeration date
10/09/2025
Last updated
01/01/2026
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