Search › Wisconsin › 122300000X
Ryan Tietz, D.D.S
NPI 1760471643 · on the registry since 2005
Practice
- Address
- 744 Ryan Dr
Hudson, WI 54016 - Phone
- (715) 386-5400
- Organisation at this address
- Consumer Direct For Wisconsin, Llc
Consumer Direct For Minnesota, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 122300000X
- Licence states on file
- MN, WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-09-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin