Individual
DR. RYAN B MARENDIUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP
Contact information
Practice address
430 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-4200
(920) 926-8933
Mailing address
SSM HEALTH FDL REGIONAL CLINIC, 1808 W BELTLINE HWY, MADISON, WI 53713-2334
(608) 250-1593
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
48298
HI
363L00000X
Nurse Practitioner
13689-33
WI
363LA2100X
Acute Care Nurse Practitioner
27171
ID
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
13689-33
WI
Other
Enumeration date
09/29/2008
Last updated
05/22/2023
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