Puccia, Ryan
Puccia, Ryan is an individual health care provider with primary practice located at 1155 N Mayfair Rd Dept Of , Wauwatosa WI 53226-3462. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Facial Plastic Surgery, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Puccia, Ryan can be contacted via phone (414) 955-5990.Contact Information
Primary practice address
1155 N Mayfair Rd Dept Of
Wauwatosa WI 53226-3462
Phone: (414) 955-5990
Fax: (414) 955-6282
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Facial Plastic Surgery | 207YS0123X | 70160 | Wisconsin |
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 70160 | Wisconsin |
Profile Details
| NPI number | 1104357425 |
|---|---|
| LBN Legal business name | Puccia, Ryan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 27th, 2017 |
| Last updated | Sep 1st, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104357425 | NPPES |
| Wisconsin | MEDICAID | 1104357425 |
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