Russell, Ryan William
Russell, Ryan William is an individual health care provider with primary practice located at 3930 Northwoods Dr , Arden Hills MN 55112-6963. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Russell, Ryan William can be contacted via phone (651) 523-8500.Contact Information
Primary practice address
3930 Northwoods Dr
Arden Hills MN 55112-6963
Phone: (651) 523-8500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 67442 | Minnesota |
Profile Details
| NPI number | 1366975906 |
|---|---|
| LBN Legal business name | Russell, Ryan William |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 11th, 2017 |
| Last updated | Aug 3rd, 2020 - about 4 years 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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