Individual provider · Type 1 NPI

Ryan Nutter, PA-C

Surgical Physician Assistant · Milwaukee, WI

NPI number 1265716690 Active

Practice location

525 W River Woods Pkwy # 201
Milwaukee, WI 53212-1024

Call (414) 249-2422 Map

Fax (414) 249-0298

Mailing address

525 W River Woods Pkwy Ste 130
Glendale, WI 53212-1010

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X2773-023 (WI)

Surgical Physician Assistant: Definition to come...

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About NPI 1265716690

Ryan Nutter, PA-C's National Provider Identifier is 1265716690, issued on Oct 4, 2011. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Milwaukee, WI. The record was last updated on Mar 3, 2021.