Individual
MATTHEW L RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1726 SHAWANO AVE, GREEN BAY, WI 54303-3216
(920) 884-3135
(920) 884-3144
Mailing address
1726 SHAWANO AVE, GREEN BAY, WI 54303-3216
(920) 884-3135
(920) 884-3144
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
4301091673
MI
207RH0003X
Hematology & Oncology Physician
Primary
50362
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105312207
—
MI
05
—
353326600
—
WI
Enumeration date
02/09/2006
Last updated
12/20/2021
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