Individual provider · Type 1 NPI

Monica Clare Ryan, PA-C

Surgical Physician Assistant · West Bend, WI

NPI number 1962756460 Active

Practice location

3200 Pleasant Valley Rd, Department Of Urology, Urologic Oncology Division
West Bend, WI 53095

Mailing address

8701 Watertown Plank Road, Department Of Urology
Milwaukee, WI 53226-3548

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400X23016189 (NY)
Surgical Physician Assistant Primary 363AS0400X3409 (WI)

Surgical Physician Assistant: Definition to come...

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About NPI 1962756460

Monica Clare Ryan, PA-C's National Provider Identifier is 1962756460, issued on Nov 5, 2012. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in West Bend, WI. The record was last updated on Feb 19, 2025.