Maanum, Scott Ryan

Maanum, Scott Ryan is an individual health care provider with primary practice located at 20600 Firewood Trl , Park Rapids MN 56470-6242. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Maanum, Scott Ryan can be contacted via phone (218) 292-9545.

Contact Information

Primary practice address
20600 Firewood Trl Park Rapids MN 56470-6242
Phone: (218) 292-9545
Fax: (218) 255-8786
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 38086 Iowa
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 52825 Minnesota

Profile Details

NPI number 1992901086
LBN Legal business name Maanum, Scott Ryan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2007
Last updated Apr 24th, 2024 - about 5 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992901086 NPPES
Minnesota MEDICAID 1992901086

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