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Individual

DR. RYAN TIMOTHY FUNK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
247 S NICOLET RD, APPLETON, WI 54914-3938
(888) 938-3838
(888) 919-1083
Mailing address
10001 W INNOVATION DR STE 200, MILWAUKEE, WI 53226-4851
(889) 383-8388
(888) 919-1083

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
125.066880
IL
207Y00000X
Otolaryngology Physician
Primary
1874-320
WI

Other

Enumeration date
06/19/2015
Last updated
08/02/2022
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