Individual
DR. RYAN M O'DONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6405 FRANCE AVE S, SUITE W440, EDINA, MN 55435-2163
(952) 927-7004
(952) 927-5146
Mailing address
3400 W 66TH ST, SUITE 350, EDINA, MN 55435-2111
(952) 832-0805
(952) 832-5597
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
52613
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52613
MINNESOTA LICENSE
MN
Enumeration date
11/23/2006
Last updated
07/31/2013
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