Individual
DR. NICHOLAS ROBERT RYDZEWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 MINERAL POINT AVE, JANESVILLE, WI 53548-2982
(608) 756-6731
(608) 756-6013
Mailing address
1000 MINERAL POINT AVE, JANESVILLE, WI 53548-2982
(608) 756-6731
(608) 756-6013
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
036153609
IL
2085R0001X
Radiation Oncology Physician
Primary
72314-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
R322630745086
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568855161
—
WI
Enumeration date
03/06/2015
Last updated
09/28/2020
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