Individual
MR. RYAN J MONCADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A
Contact information
Practice address
1111 DELAFIELD ST, SUITE 207, WAUKESHA, WI 53188-3417
(262) 446-3593
Mailing address
1334 ROCKRIDGE RD, APARTMENT #342, WAUKESHA, WI 53188-2897
(262) 227-1323
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4108
WI
Other
Enumeration date
05/11/2017
Last updated
05/16/2023
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