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NPI Code Detail

MEDICARE: MR. RYAN JAMES WILSON

MEDICARE: MR. RYAN JAMES WILSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1237700000XHearing Instrument Specialist1374-60WI

General Provider Information

NPI Number : 1568866960
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. RYAN JAMES WILSON
Provider Business Mailing Address
First Line : 5513 ODANA RD
Second Line :
City : MADISON
State : WI
Zip : 53719-1205
Country : US
Telephone Number : 608-206-2595
Fax Number :
Provider Business Practice Location Address
First Line : 5513 ODANA RD
Second Line :
City : MADISON
State : WI
Zip : 53719-1205
Country : US
Telephone Number : 608-206-2595
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2014
Last Update Date : 10/14/2025

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Directions to “ MR. RYAN JAMES WILSON ” Practice Location

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