Individual
DR. RYAN MICHAEL BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
945 N 12TH ST, MILWAUKEE, WI 53233-1305
(414) 219-2000
Mailing address
945 N 12TH ST, MILWAUKEE, WI 53233-1305
(414) 219-2000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5672
NE
Other
Enumeration date
06/29/2007
Last updated
12/29/2021
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