Individual
RYAN SKOOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
49725 COUNTY 83, STAPLES, MN 56479-5280
(218) 894-1515
Mailing address
242 W JOHNSON ST, MENAHGA, MN 56464-2296
(218) 849-7288
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13765
MN
363AS0400X
Surgical Physician Assistant
13765
MN
Other
Enumeration date
10/04/2021
Last updated
10/04/2021
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