Individual
WINSTON D RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
333 PINE RIDGE BLVD, WAUSAU, WI 54401-4120
(715) 847-2121
Mailing address
PO BOX 1008, WAUSAU, WI 54402-1008
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35966
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32173200
—
WI
Enumeration date
12/13/2006
Last updated
07/08/2007
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