Individual
RYAN BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 E 28TH ST, MINNEAPOLIS, MN 55407-3723
(865) 342-8900
(865) 691-0843
Mailing address
8942 KNOLLWOOD DR, EDEN PRAIRIE, MN 55347-1722
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1864
MN
Other
Enumeration date
12/15/2015
Last updated
10/31/2017
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