Individual
RYAN D'SOUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-2143
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
62502
MN
207R00000X
Internal Medicine Physician
MT211512
PA
208VP0000X
Pain Medicine Physician
Primary
62502
MN
Other
Enumeration date
05/27/2016
Last updated
08/05/2020
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