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Individual

RYAN OWEN HOLDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
700 S PARK ST, MADISON, WI 53715-1830
(608) 251-6100
(608) 260-2976
Mailing address
700 S PARK ST, MADISON, WI 53715-1830
(608) 251-6100
(608) 260-2976

Taxonomy

Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
036-173202
IL
2086S0127X
Trauma Surgery Physician
Primary
81168
WI
208D00000X
General Practice Physician
008084
AZ
390200000X
Student in an Organized Health Care Education/Training Program
AZ
390200000X
Student in an Organized Health Care Education/Training Program
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1962934075
WI
Enumeration date
03/29/2017
Last updated
07/29/2025
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