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Ryan Puccia, MD
Otolaryngology Physician in Wauwatosa, Wisconsin
NPI 1104357425

Ryan Puccia is a Otolaryngology Physician based in Wauwatosa, WI. Ryan Puccia practices in Wauwatosa, WI and has the professional credentials of MD. The NPI Number for Ryan Puccia is 1104357425 and holds a License No. 70160 (Wisconsin).

The current practice location address for Ryan Puccia is 1155 N Mayfair Rd Dept Of, Wauwatosa, WI and can be reached out via phone at 414-955-5990 and via fax at 414-955-6282.

Location: 1155 N Mayfair Rd Dept Of, Wauwatosa, WI, 53226-3462
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104357425
Provider Name
Ryan Puccia
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1155 N Mayfair Rd Dept Of, Wauwatosa, WI, 53226-3462
Phone Number
414-955-5990
Fax Number
414-955-6282
Provider Enumeration Date
03/27/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1104357425 05 WI
institution
Provider Business Practice Location Address Details
Address
1155 N Mayfair Rd Dept Of
City
Wauwatosa
State
Wisconsin
Zip
53226-3462
Phone Number
414-955-5990
Fax Number
414-955-6282
person
Provider Business Mailing Address Details
Address
1155 N Mayfair Rd Dept Of
City
Wauwatosa
State
Wisconsin
Zip
53226-3462
Phone Number
414-955-5990
Fax Number
414-955-6282
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
-
Taxonomy
207Y00000X
License No.
70160 (Wisconsin)
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Facial Plastic Surgery
Taxonomy
207YS0123X
License No.
70160 (Wisconsin)
Definition
An otolaryngologist who specializes in facial plastic surgery.
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