Individual
RYAN FELD AMIDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8701 WATERTOWN PLANK RD, MILWAUKEE, WI 53226-3548
(414) 955-4575
Mailing address
2601 ELKHART DR APT 210, WAUKESHA, WI 53189-8817
(951) 318-0445
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
WI
Other
Enumeration date
03/28/2025
Last updated
03/28/2025
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