Individual
DR. RYAN R LUSSENDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-8364
Mailing address
8395 W OAKLAND PARK BLVD, SUITE E AND F, SUNRISE, FL 33351-7301
(954) 472-1322
(954) 370-3420
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
247573
MA
208600000X
Surgery Physician
Primary
49793
MN
208600000X
Surgery Physician
A105216
CA
208600000X
Surgery Physician
ME113403
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
539182000
—
MN
Enumeration date
05/07/2007
Last updated
04/01/2024
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