Individual
RYAN J BRANDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
330 NORTHDALE BLVD, COON RAPIDS, MN 55448-3362
(763) 755-4300
(763) 755-4375
Mailing address
330 NORTHDALE BLVD, COON RAPIDS, MN 55448-3362
(763) 755-4300
(763) 755-4375
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
4024
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
044N0BR
BLUECROSS BLUESHIELD
MN
Enumeration date
10/02/2006
Last updated
04/14/2008
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