Individual
RYAN T ZANTOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
44776-020
WI
2083X0100X
Occupational Medicine Physician
Primary
44776
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34827700
—
WI
Enumeration date
05/25/2006
Last updated
03/03/2026
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