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 2 years ago |
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 |
Popular Providers
-
Montagne, William
8701 W Watertown Plank Rd , Wauwatosa WI 53226-3548 -
Kearns, Michael J
6600 Mercy Ct Ste 180 , Fair Oaks CA 95628-3198 -
Winter, Mark L.
4432 S Loop 289 , Lubbock TX 79414-5005 -
Rieder, Anthony A
2727 N Mayfair Rd Ste I , Wauwatosa WI 53222-4400 -
Zachmann, Gregory Carl
4348 Electric Rd , Roanoke VA 24018-0720 -
Mcgrady, Murray D
19 Wolf Creek Dr Dept Otolaryngology, Swansea IL 62226-2355 -
Mazer, Theodore M.
6699 Alvarado Rd Ste 2209, San Diego CA 92120-5240 -
Ow, Randall A
2 Medical Plaza Dr Ste 225 & 235, Roseville CA 95661-3043