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Amanda Ryan
VA Clinic/Center in Green Bay, Wisconsin
NPI 1114300332

Amanda Ryan is a VA Clinic/Center based in Williamsville, WI and is specialized in VA. Amanda Ryan practices in Green Bay, WI. The NPI Number for Amanda Ryan is 1114300332 and holds a License No. 060491 (Wisconsin).

The current practice location address for Amanda Ryan is 2851 University Ave, Green Bay, WI and can be reached out via phone at 716-440-4117.

Location: 2851 University Ave, Green Bay, WI, 14221-1924
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Provider Profile Details
NPI Number
1114300332
Provider Name
Amanda Ryan
Credential
Provider Entity Type
Individual
Gender
Female
Address
2851 University Ave, Green Bay, WI, 14221-1924
Phone Number
716-440-4117
Fax Number
Provider Enumeration Date
07/07/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
060491 01 NY NEW YORK STATE PHARMACIST LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
2851 University Ave
City
State
Zip
54311-5855
Phone Number
716-440-4117
Fax Number
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Provider Business Mailing Address Details
Address
2851 University Ave
City
State
Zip
54311-5855
Phone Number
716-440-4117
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
VA
Taxonomy
License No.
060491 (New York)
Definition
Definition to come...
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