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Individual
DR. RYAN JASON MAIRS
Active
Individual
DR. RYAN JASON MAIRS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3787
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0726
HEALTH SERVICE MANAGEMENT
MN
01
—
4447988
MEDICA
MN
05
—
475329100
—
MN
01
—
606707
CHIROCARE
MN
01
—
70D39MA
BCBSMN
MN
Enumeration date
12/08/2005
Last updated
06/13/2024
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