Individual
DR. RYAN DENNIS BUELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
31095 BERGQUIST DRIVE, PEQUOT LAKES, MN 56472-0008
(218) 568-7767
(218) 568-4580
Mailing address
PO BOX 8, PEQUOT LAKES, MN 56472-0008
(218) 568-7767
(218) 568-4580
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3271
MN
111N00000X
Chiropractor
AO5891
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
043813800
—
MN
01
—
40B23PE
BCBS OF MN
MN
01
—
41-1508205
HEALTH SERVICES MANAGEMEN
MN
01
—
659754
CHIRO CARE OF MN
MN
01
—
P00178997
RAILROAD MEDICARE
MN
Enumeration date
10/03/2006
Last updated
10/18/2012
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