Individual
DR. JAMES J. RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4572 COUNTY ROAD 61, MOOSE LAKE, MN 55767-9401
(218) 485-2105
Mailing address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-8364
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
34503
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
963826100
—
MN
Enumeration date
05/27/2005
Last updated
02/19/2024
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