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Individual

RYAN BALKO

Active
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Individual

RYAN BALKO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
28314
MN
207R00000X
Internal Medicine Physician
64058
MN
207RG0100X
Gastroenterology Physician
2021-01332
NC
207RG0100X
Gastroenterology Physician
Primary
V0686
TX

Other

Enumeration date
03/21/2017
Last updated
09/04/2024
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