Individual
MR. RYAN G SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
9000 W WISCONSIN AVE, PEDIATRIC CARDIOTHORACIC SURGERY, MILWAUKEE, WI 53226-4874
(414) 266-2380
(414) 266-2294
Mailing address
9000 W WISCONSIN AVE, PEDIATRIC CARDIOTHORACIC SURGERY, MILWAUKEE, WI 53226-4874
(414) 266-2380
(414) 266-2294
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1995
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528013745
—
WI
Enumeration date
05/24/2006
Last updated
10/17/2014
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