Individual
MR. RYAN JOSEPH HOUSNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
085002765
IL
363AS0400X
Surgical Physician Assistant
10000873A
IN
363AS0400X
Surgical Physician Assistant
2680-023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205942539
—
WI
Enumeration date
08/21/2006
Last updated
12/17/2021
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