Individual
RYAN PATRICK HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3400 MINISTRY PKWY, WESTON, WI 54476
(715) 370-1614
Mailing address
3400 MINISTRY PKWY, WESTON, WI 54476-5220
(715) 393-3200
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
192519-30
WI
Other
Enumeration date
12/16/2014
Last updated
12/16/2014
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