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Individual

DR. RYAN JASON MAIRS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
104 22ND AVE NE STE 1, WASECA, MN 56093-2641
(507) 835-1600
(507) 835-1609
Mailing address
104 22ND AVE NE STE 1, WASECA, MN 56093-2641
(507) 835-1600
(507) 835-1609

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3787
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0726
HEALTH SERVICE MANAGEMENT
MN
01
4447988
MEDICA
MN
05
475329100
MN
01
606707
CHIROCARE
MN
01
70D39MA
BCBSMN
MN
Enumeration date
12/08/2005
Last updated
06/13/2024
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