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Individual

DR. RYAN A MCCOLLUM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
2229 23RD ST NW, BEMIDJI, MN 56601-5503
(218) 333-6515
Mailing address
2229 23RD ST NW, BEMIDJI, MN 56601-5503
(218) 333-6515

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D14632
MN

Other

Enumeration date
10/29/2021
Last updated
12/29/2025
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