Individual
AMY LYNN RANTALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
42485
WI
207Q00000X
Family Medicine Physician
44596
MN
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
42485
WI
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
42485
WI
Other
Enumeration date
12/05/2005
Last updated
08/07/2025
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