Individual
SHAUN ROBERT RAGANYI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
855 N WESTHAVEN DR, OSHKOSH, WI 54904-7668
(920) 303-8700
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
72371-21
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100095758
—
WI
Enumeration date
03/27/2018
Last updated
08/30/2024
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