Provider Demographics
NPI:1184663205
Name:RYAN, FRANCES R (MD)
Entity Type:Individual
Prefix:
First Name:FRANCES
Middle Name:R
Last Name:RYAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4410 REGENT ST
Mailing Address - Street 2:ASSOCIATED PHYSICIANS, LLP
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53705-4901
Mailing Address - Country:US
Mailing Address - Phone:608-233-9746
Mailing Address - Fax:608-236-1981
Practice Address - Street 1:4410 REGENT ST
Practice Address - Street 2:ASSOCIATED PHYSICIANS, LLP
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53705-4901
Practice Address - Country:US
Practice Address - Phone:608-233-9746
Practice Address - Fax:608-233-1981
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2014-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI46064-020207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI60202OtherDEAN HEALTH INSURANCE
WI34431500Medicaid
WIP00086678Medicare PIN
WI085774150Medicare PIN
WI60202OtherDEAN HEALTH INSURANCE