Individual
RYAN EDWARD DEERING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4300 MARKETPOINTE DR STE 100, BLOOMINGTON, MN 55435-5435
(952) 857-1519
Mailing address
3140 130TH AVE NW, MINNEAPOLIS, MN 55448-1172
(612) 518-9228
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14676
MN
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
09/12/2023
Last updated
10/18/2023
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