Individual
DR. RYAN S SYVRUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
825 25TH ST S, FARGO, ND 58103-8724
(701) 237-5150
(701) 532-1211
Mailing address
825 25TH ST S, FARGO, ND 58103-8724
(701) 237-5150
(701) 532-1211
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
497
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16342
—
ND
01
—
26293
BLUE CROSS BLUE SHIELD ND
ND
01
—
63140SY
BLUE CROSS BLUE SHIELD MN
MN
05
—
653528300
—
MN
01
—
N715762
MEDICARE
ND
Enumeration date
09/26/2006
Last updated
04/13/2016
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