Individual
RYAN F PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1211 FISH HATCHERY RD, MADISON, WI 53715-1909
(608) 252-8000
(608) 410-2905
Mailing address
1211 FISH HATCHERY RD, MADISON, WI 53715-1909
(608) 252-8000
(608) 410-2905
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
62133-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578725651
—
WI
Enumeration date
06/30/2008
Last updated
02/07/2022
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