Individual
DR. BRENT JONATHAN RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(613) 863-4000
(763) 236-3026
Mailing address
800 E 28TH ST, MAIL ROUTE 11326, MINNEAPOLIS, MN 55407-3799
(612) 863-7560
(612) 863-3809
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
48748
MN
Other
Enumeration date
01/25/2008
Last updated
05/25/2022
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