Individual
WILLIAM JAMES RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2600 65TH AVE, OSCEOLA, WI 54020-4370
(715) 294-2111
Mailing address
207 MYRTLE ST W APT 3, STILLWATER, MN 55082-4843
(763) 232-7679
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
12879
MN
Other
Enumeration date
01/24/2019
Last updated
01/24/2019
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