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Individual

RYAN D HOLZMACHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5017 S 110TH ST, GREENFIELD, WI 53228-3131
(414) 301-3531
Mailing address
19050 BLUE RIDGE CT, BROOKFIELD, WI 53045-5103
(414) 202-1724

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
42642-020
WI
207RN0300X
Nephrology Physician
42642-020
WI
208VP0000X
Pain Medicine Physician
42642-020
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
34749000
WI
Enumeration date
06/20/2006
Last updated
09/20/2024
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