Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RYAN THOMAS MACKEY, DPM
Active Sole ProprietorDR. RYAN THOMAS MACKEY, DPM is a Podiatrist healthcare provider located in WAUPUN, Wisconsin. NPI 1295982668 is currently active in the NPPES registry. Verify at CMS.
Podiatrist · WAUPUN, WI
Registration Details
- NPI Number
- 1295982668
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 27, 2008 (18.001709717728 yrs)
- Last Updated
- Dec 9, 2016
- License
-
POD-0000708 (CO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1001 W MAIN STWAUPUN, WI, 539631601Browse WI providers · Browse ZIP 53963
- Phone
- 9203613063
- Fax
- 9203617317
- Primary Specialty
-
Podiatrist
213E00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.