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Individual

RYAN D MCCAULEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1732 N PROSPECT AVE APT 408, MILWAUKEE, WI 53202-1937
(414) 405-2572
Mailing address
1732 N PROSPECT AVE APT 408, MILWAUKEE, WI 53202-1937

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
03/10/2016
Last updated
03/10/2016
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