Individual
RYAN AHLGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
640 JACKSON ST, SAINT PAUL, MN 55101-2502
(651) 254-7980
(651) 254-7990
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14644
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/01/2021
Last updated
06/13/2025
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