Individual
RYAN BLAIR O'MALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2355 HWY 36 W, STE. 100, ROSEVILLE, MN 55113
(651) 292-2000
Mailing address
2355 HWY 36 W., STE. 100, ROSEVILLE, MN 55113
(651) 292-2000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
4301090572
MI
2085R0202X
Diagnostic Radiology Physician
Primary
70875
MN
Other
Enumeration date
06/26/2007
Last updated
07/07/2022
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