Individual
TARA RYSEWYK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
2020 W POINT TER, GREEN BAY, WI 54304-1764
(920) 373-3257
Mailing address
2020 W POINT TER, GREEN BAY, WI 54304-1764
(920) 373-3257
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
224807-30
WI
Other
Enumeration date
01/16/2016
Last updated
01/16/2016
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