Individual
RYAN BLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4120 S 99TH ST, GREENFIELD, WI 53228-2114
(414) 795-3597
Mailing address
4120 S 99TH ST, GREENFIELD, WI 53228-2114
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/13/2026
Last updated
05/13/2026
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