Individual
RYAN ZINKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1900 SILVER LAKE ROAD,, SUITE 110, NEW BRIGHTON, MN 55112
(651) 746-2392
Mailing address
217 8TH AVE S, SAUK RAPIDS, MN 56379-1839
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R 190379-5
MN
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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