Individual
MICHAEL RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CERTIFIED PEDORTHIST
Contact information
Practice address
6220 UNIVERSITY AVE, MIDDLETON, WI 53562-3481
(608) 890-8996
Mailing address
201 S YELLOWSTONE DR, MADISON, WI 53705-4381
(608) 238-3807
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/19/2011
Last updated
07/19/2011
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