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Contact Information

BRIAN R RAGUSE, PA
1160 KEPLER DR
GREEN BAY, WI54311
 Phone: 920-288-5555
 Fax: 920-288-5550
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for BRIAN R RAGUSE · (Male)

NPI Number 1316959083
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 08/12/2006
Last updated 09/30/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 1663
  • WI Medicaid 41980900
Hospital affiliation(s)
  • HOLY FAMILY MEMORIAL INC - (Acute Care)
    2300 WESTERN AVE
    MANITOWOC, WI 54221
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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