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
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 23016189 (NY) |
| Surgical Physician Assistant Primary | 363AS0400X | 3409 (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.