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Individual

RYAN RAYMOND RILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
2000 NORTH AVE, NORTHFIELD, MN 55057-1498
(507) 646-1000
Mailing address
2000 NORTH AVE, NORTHFIELD, MN 55057-1498
(507) 646-1000

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
APN3269
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
R 152951-9
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
049059800
MN
05
AN1592
SC
Enumeration date
01/16/2006
Last updated
05/09/2017
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