Individual
RYAN BERRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2121 VALLEY CREEK LN, SHAKOPEE, MN 55379-4625
(612) 558-9231
Mailing address
2121 VALLEY CREEK LN, SHAKOPEE, MN 55379-4625
(612) 558-9231
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
BC808687
MN
Other
Enumeration date
04/06/2026
Last updated
04/06/2026
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