Ryden, John Michael

Ryden, John Michael is an individual health care provider with primary practice located at 8373 Unity Dr , Virginia MN 55792-4005. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Ryden, John Michael can be contacted via phone (218) 748-7480.

Contact Information

Primary practice address
8373 Unity Dr Virginia MN 55792-4005
Fax: (218) 748-7488
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 40514 Minnesota

Profile Details

NPI number 1578589255
LBN Legal business name Ryden, John Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Dec 4th, 2020 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1578589255 NPPES
Minnesota MEDICAID 361714900

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