Individual
RYAN J BRANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1001 MAIN ST W, ASHLAND, WI 54806-1366
(715) 682-5601
(715) 682-6878
Mailing address
330 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027-5098
(615) 920-7510
(615) 920-8775
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
57124-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154556611
—
WI
01
—
57124-20
STATE LICENSE
WI
Enumeration date
05/27/2009
Last updated
03/07/2023
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