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Individual

MR. RYAN A. BERRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LAT

Contact information

Practice address
N292 HILLSIDE DR, APPLETON, WI 54915-9414
(608) 334-4410
Mailing address
N292 HILLSIDE DR, APPLETON, WI 54915-9414
(608) 334-4410

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
223-039
WI

Other

Enumeration date
08/17/2005
Last updated
06/11/2009
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