Individual
RYAN DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA, AT
Contact information
Practice address
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4330
(307) 760-2624
Mailing address
18115 LAKEVIEW DR APT 102, BROOKFIELD, WI 53045-5670
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
AT.0001251
CO
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100294074
—
WI
Enumeration date
12/09/2014
Last updated
02/14/2025
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