Individual
STEVEN J. RYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13250 WASHINGTON AVE, MOUNT PLEASANT, WI 53177-1516
(888) 720-2012
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
37844-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32256100
—
WI
Enumeration date
07/26/2006
Last updated
08/05/2024
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