Individual
DR. RYAN MICHAEL MANZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
57.012247
OH
207Y00000X
Otolaryngology Physician
60945
WI
207Y00000X
Otolaryngology Physician
A121073
CA
207YS0123X
Facial Plastic Surgery Physician
Primary
60945
WI
Other
Enumeration date
03/31/2008
Last updated
11/03/2017
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