Individual
JOHN BERNARD RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4172 PILOT KNOB RD, EAGAN, MN 55122-1816
(651) 683-1006
(651) 890-5762
Mailing address
4943 WHISPERING WAY, EAGAN, MN 55122-4033
(651) 895-9352
(651) 890-5762
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
2743
MN
183500000X
Pharmacist
Primary
1130953
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
64821 RY
BLUE CROSS BLUE SHIELD
MN
Enumeration date
04/11/2007
Last updated
09/11/2025
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