Ranta, Marylyn S

Ranta, Marylyn S is an individual health care provider with primary practice located at 4855 S Moorland Rd Suite 150, New Berlin WI 53151-7401. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Ranta, Marylyn S can be contacted via phone (414) 425-5660.

Contact Information

Primary practice address
4855 S Moorland Rd Suite 150 New Berlin WI 53151-7401
Fax: (414) 425-9803
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 26860 Wisconsin

Profile Details

NPI number 1972598209
LBN Legal business name Ranta, Marylyn S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2005
Last updated Sep 14th, 2009 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972598209 NPPES
Wisconsin MEDICAID 30686200

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