Individual
DR. THOMAS JOHN RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
945 N 12TH ST, MILWAUKEE, WI 53233-1305
(414) 219-6269
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(414) 219-6269
(414) 964-4977
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
347100-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31940100
—
WI
Enumeration date
03/11/2006
Last updated
10/26/2023
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