Individual
DR. CHARLES J. RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
909 FULTON ST SE, MINNEAPOLIS, MN 55455-4800
(612) 672-7422
Mailing address
1635 DIVISADERO STREET, SUITE 625, BOX 1821, SAN FRANCISCO, CA 94143-0001
(415) 476-4029
(415) 476-4150
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A83236
CA
207RX0202X
Medical Oncology Physician
Primary
64731
MN
207RX0202X
Medical Oncology Physician
A83236
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0A8323600
—
CA
Enumeration date
05/01/2006
Last updated
11/13/2018
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