Individual
RYAN PUCCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1155 N MAYFAIR RD DEPT OF, WAUWATOSA, WI 53226-3462
(414) 955-5990
(414) 955-6282
Mailing address
1155 N MAYFAIR RD DEPT OF, WAUWATOSA, WI 53226-3462
(414) 955-5990
(414) 955-6282
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
70160
WI
207YS0123X
Facial Plastic Surgery Physician
70160
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104357425
—
WI
Enumeration date
03/27/2017
Last updated
09/01/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us