Individual
RYAN D LUELLWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
20 S PARK ST, MADISON, WI 53715-1348
(608) 287-2830
(608) 890-6797
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
67589
WI
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
67589
WI
207V00000X
Obstetrics & Gynecology Physician
Primary
67589-21
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316388903
—
WI
Enumeration date
07/11/2013
Last updated
07/29/2024
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