Individual
RYAN DAVID GUERRETTAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8701 WATERTOWN PLANK RD, MILWAUKEE, WI 53226-3548
(414) 955-4575
Mailing address
8701 WATERTOWN PLANK RD, MILWAUKEE, WI 53226-3548
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.074606
IL
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
81491-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/19/2019
Last updated
06/26/2023
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