Individual
RYAN N VOGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4131 W LOOMIS RD STE 240, GREENFIELD, WI 53221-2072
(262) 510-0300
(262) 510-0500
Mailing address
4131 W LOOMIS RD STE 240, GREENFIELD, WI 53221-2072
(262) 510-0300
(262) 510-0500
Taxonomy
Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
62787
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001467755
AMERICAN ACADEMY OF OPHTHALMOLOGY
—
05
—
1124361142
—
WI
01
—
14446651
CAQH
—
01
—
62787
WI STATE LICENSE
WI
Enumeration date
03/27/2013
Last updated
02/05/2025
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