Individual
RYAN HUGHSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
744 S WEBSTER AVE, GREEN BAY, WI 54301-3505
(920) 433-3500
Mailing address
3341 WHITTIER DR, GREEN BAY, WI 54311-8929
(608) 695-0198
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
73417
WI
Other
Enumeration date
03/31/2018
Last updated
06/06/2022
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