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Individual

RYAN DENNIS WALSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-8710
(414) 805-1101
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-8710
(414) 805-1101

Taxonomy

Speciality
Code
Description
License number
State
207WX0109X
Neuro-ophthalmology Physician
Primary
57569
WI
2084N0400X
Neurology Physician
57569-20
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1396900437
WI
Enumeration date
07/28/2008
Last updated
12/20/2023
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