Individual
RYAN RUSLAN BOHARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APNP
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-3000
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 955-7040
(414) 955-0175
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
12976
MN
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
1689833
WI
363LC0200X
Critical Care Medicine Nurse Practitioner
95035525
CA
Other
Enumeration date
06/09/2025
Last updated
10/27/2025
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