Individual
RYAN THAYER NOVAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1601 GOLF COURSE ROAD, GRAND RAPIDS, MN 55744-8648
(218) 326-5000
Mailing address
1601 GOLF COURSE ROAD, GRAND RAPIDS, MN 55744-8648
(218) 326-5000
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
55735
MN
Other
Enumeration date
06/09/2008
Last updated
02/05/2016
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