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Individual
RYAN MARK HARDEN
Active
Individual
RYAN MARK HARDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
49738
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-28054
MEDICA
MN
01
—
35P56HA
BCBS
MN
05
—
744153000
—
MN
01
—
P00438361
RR MEDICARE PTAN
—
Enumeration date
05/02/2007
Last updated
01/03/2013
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